>? @?

@ABCDEFGH

ABCDEIJKLMNOP‫ޟ‬㘩↢ᵴᜰ㊎‫@ޔߪߡ޿ߟߦޠ‬A 60 ᐕߦ)↢,㧔R㧕ߦ߅޿ߡ‫ޔ‬࿖1SߣࠅSߣࠅ߇㘩↢ᵴTUߦขࠅ⚵߻ࠃ߁‫ޟ‬ஜᐽߠߊࠅߩߚ߼ߩ㘩↢ᵴᜰ㊎‫╷ࠍޠ‬ቯߒ‫ߩߘޔ‬ᓟ‫ޔ‬
ᐔᚑ 12 ᐕߦVW,‫↢)ޔ‬,෸߮-./↥,ߣ!Xߢ‫ޟ‬㘩↢ᵴᜰ㊎‫╷ࠍޠ‬ቯ2YZߒߚ‫ޕ‬ߘߩ[‫ޔ‬ᐔᚑ 2 ᐕߦߪ‫ޔ‬ኻ⽎>ᕈ#ߩ㘩↢ᵴᜰ㊎ߩߦ߅޿ߡ‫ޔ‬‫ޟ‬ᅚᕈ㧔\ᕈࠍ ߻㧕ߩߚ߼ߩ㘩↢ᵴᜰ㊎‫╷߇ޠ‬ቯߐࠇߚ߇‫ߦ>ޔ‬ᅧᆼᦼ෸߮᝼੃ᦼߦ]^ࠍ޽ߡߚ㘩↢ᵴᜰ㊎ߦߟ޿ߡߪߎࠇ߹ߢ_ᚑߐࠇߡ޿ߥ޿‫ޕ‬߹ߚ‫ޔ‬ㄭᐕ‫޿⧯ޔ‬ᅚᕈߦ߅޿ߡ㘩੐ߩ`ࠅ߿ૐ૕㊀⠪ߩჇട╬߇ஜᐽ਄ߩa㗴ߣߒߡᜰbߐࠇߡ߅ࠅ‫ޔ‬ᅧᆼᦼ෸߮᝼੃ᦼߦ߅޿ߡ߽‫\ޔ‬ሶߩஜᐽߩߚ߼ߦㆡಾߥ㘩⠌ᘠߩ⏕cࠍ࿑ࠆߎߣߪd߼ߡ㊀ⷐߥefߢ޽ࠆ‫ޕ‬ߐࠄߦ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߩ⪲㉄៨ขߩផᅑ߿ghiᕈߩ߅ߘࠇߩ޽ࠆjklmߩno៨ข߳ߩpqr⿠ߥߤ‫ޔ‬ᅧᆼᦼߦ߅޿ߡᔅⷐߣߐࠇࠆsႎߪ‫ޔ‬
୘#ߩsႎߣߒߡឭtߐࠇߡߪ޿ࠆ߇‫ޔ‬ᅧᆼᦼߩ㘩↢ᵴߣ޿߁u^߆ࠄv;ߐࠇߚsႎߣߒߡឭtߐࠇࠆߎߣߪwߥߊ‫ޔ‬᝼੃ᦼߦ߅޿ߡ߽‫੃\ޔ‬xఽߩផㅴߦߟ޿ߡߪyᄙߊߣࠅ޽zࠄࠇߡ޿ࠆ߽ߩߩ‫ࠍࠇߘޔ‬ᡰ߃ࠆ㘩੐ߦߟ޿ߡ‫ޔ‬ᅧᆼᦼ߆ࠄ{|ߒߚiߢߩsႎឭtߪwߥ޿‫ޕ‬ᓥߞߡ‫}ޔ‬࿁ߪᅧ↥ᇚࠍኻ⽎ߣߒߚ㘩↢ᵴᜰ㊎ࠍ_ᚑߔࠆߎߣߣߒߚ‫ߦࠇߎޔ߅ߥޕ‬ࠃߞߡ‫ޔ‬ᅧᆼ೨߆ࠄߩ㘩↢ᵴߩ㊀ⷐᕈ߇ౣ⹺⼂ߐࠇࠆߎߣ߽ⷞ㊁ߦ౉ࠇߡ_ᚑߦขࠅ⚵߻߽ߩߢ޽ࠆ‫ޕ‬ᜰ㊎ߦߟ޿ߡߪ‫ޔ‬ᅧ↥ᇚߩᣇ‫ౕߡߞߣߦޘ‬૕⊛ߢࠊ߆ࠅ߿ߔ޿ౝኈߣߔࠆߎߣࠍၮ
ߣߔࠆ৻ᣇߢ‫଻ޔ‬ஜක≮ᓥ੐⠪╬ߩᜰዉ⠪߇ᵴ↪ߔࠆ㓙ߩෳ⠨ߣߥࠆࠃ߁‫ޔ‬ᅧ↥ᇚ߇pqߔߴ߈㘩↢ᵴ਄ߩefࠍ~ࠄ߆ߦߒߚ਄ߢ‫ޔ‬ᅧ↥ᇚߦᔅⷐߣߐࠇࠆᩕ㙃⚛߿㘩੐ౝኈ‫ޔ‬ࠬk ࡞ߦ߅ߌࠆ^╬ߦߟ޿ߡ‫⑼ޔ‬ቇ⊛ᩮ᜚ߦၮߠ߈‫ࠍ⺑⸃ޔ‬ട߃ࠆߎߣߣ

ߒߚ‫ߩߘޕ‬㓙‫ޔ‬㘩↢ᵴߩߺߥࠄ‫ޔ‬ᅧ↥ᇚߩ↢ᵴ߿‫ߩ ߿ߛࠄ߆ޔ‬ஜᐽߦ߽ߔ
ࠆߎߣߣߒߚ‫ޕ‬߹ߚ‫ޔ‬ᜰ㊎ߩ㛽ᩰߣߥࠆஜᐽߠߊࠅߩߚ߼ߦᦸ߹ߒ޿㘩੐ߦߟ޿ߡߪ‫ޟޔ‬ᣣੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ㧕‫ޠ‬෸߮‫ޟ‬㘩੐ࠬ

‫ࠍޠ‬ၮߣߒ‫ޔ‬ᅧᆼᦼ2᝼੃ᦼߦടߔߴ߈㧔qߔߴ߈㧕੐ࠍട߃ߚ‫ޟ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࠬ
ߖߡᬌ⸛ߒ‫ޔ‬㘩੐ߩᦸ߹ߒ޿⚵วߖ߿㊂ߦߟ޿ߡឭ␜ߔࠆߎߣߣߒߚ‫ޕ‬ȝ9ȝ‫ࠊ޽ࠍޠ‬




?

@

ABCDE QRSTUVWG XY 
20 4ઍ෸߮ 30 4ઍߩᅚᕈߦ߅ߌࠆ૕ᩰಽߩಽ߇ㄭᐕᄢ߈ߊᄌൻߒ‫ޔ‬‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ߩޠ‬⠪㧔BMI ''8.5㧕ߩഀว߇Ⴧടߒߡ޿ࠆ‫ޕ‬ᐔᚑ '5 ᐕ࿖1ஜᐽ2ᩕ㙃⺞ᩏߩߢߪ‫ޔ‬‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ߩޠ‬⠪ߩഀว߇ 20 4ઍᅚᕈߢ 23.4%‫ޔ‬30 4ઍᅚᕈߢ '4.7%ߺࠄࠇ‫ޟޔ‬⢈ḩ‫ߩޠ‬⠪ߩഀวߪ 204ઍᅚᕈߢ 8.'%‫ޔ‬30 4ઍᅚᕈߢ '2.6%ߺࠄࠇࠆ '㧕㧔࿑ '㧕‫ޕ‬ᅧᆼ೨ߦ‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ޟ߿ޠ‬⢈ḩ‫ޠ‬ߩวߦߪ‫ޔ‬ᅧᆼᦼߩ࡞߿ಽ⇣Ᏹߩ࡝ࠬࠢ߇߹ࠆᕈ߇޽ࠆ‫ޕ‬  

࿑ ' ૐ૕㊀㧔߿ߖ㧔BMI
ૐ૕㊀㧔߿ߖ㧕
߿ߖ㧕BMI'8.5㧕
'8.5㧕2⢈ḩ㧔BMI⢈ḩ㧔BMIÊ
BMIÊ25.025.0㧕
.0㧕ߩᐕ<ផ=㧔ᅚᕈ㧕ᐕ<ផ=㧔ᅚᕈ㧕[\

BMI 
BMI㧔Body Mass Index㧕ߣߪ‫ޔ‬⢈ḩߩቯߦ↪޿ࠄࠇࠆᜰߢ‫ߩ∛߽ޔ‬wߥ޿ BMI22 ࠍḰߣߒߡ޿ࠆ‫ޕ‬BMI ߪ‫ޔ‬‫ޟ‬૕㊀㧔kg㧕 㧔¡㧕2‫ߢޠ‬¢಴ߐࠇ‫ޔ‬ቯߪ BMI'8.5 £ḩࠍ‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ޠ‬‫'ޔ‬8.5 ¤਄
25.0 £ḩࠍ‫ޟ‬¥ߟ߁‫ޠ‬‫ޔ‬25.0 ¤਄ࠍ‫ޟ‬⢈ḩ‫ ޕࠆߔߣޠ‬㧔ᣣ⢈ḩቇળ⢈ḩ∝¦§ၮḰᬌ⸛¨©ળ,2000 ᐕ㧕

)`STa)`STab cd/ef ghij kl
ᅧᆼ೨ߩ૕ᩰ߇‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ޟ߿ޠ‬¥ߟ߁‫ߚߞ޽ߢޠ‬ᅚᕈߢ‫ޔ‬ᅧᆼߩ૕㊀Ⴧട㊂߇ 7kg £ḩߩวߦߪૐ಴↢૕㊀ఽࠍ಴↥ߔࠆ࡝ࠬࠢ߇ªqߦ޿ߎߣ߇ႎ๔ߐࠇߡ޿ࠆ 2㧕‫­&¬«ੱޕ‬®ߩߢߪ‫ޔ‬ૐ಴↢૕㊀ఽߩഀวߪ಴↢yߩ 6.88㧔'993 ᐕ㧕߇ 9.48㧔2004 ᐕ㧕ߣჇട¯ะߦ޽ࠅ㧔࿑ 2㧕‫ߩߘޔ‬°±ߩ৻Wߣߒߡߪ‫ߩࠄࠇߎޔ‬ᅧᆼߩ૕㊀ߩჇടߩ²³߇ ´ߒߡ޿ࠆᕈ߽⠨߃ࠄࠇࠆ‫ޕ‬ૐ಴↢૕㊀ఽߦߟ޿ߡߪ‫ޔ‬ᚑੱᓟߦµ¶∛߿ߥߤߩ↢ᵴ⠌ᘠ∛ࠍ⊒∝ߒ߿ߔ޿ߣ޿߁ႎ๔߽޽ࠆ 3)-7㧕‫ޕ‬߹ߚ‫޿⧯ޔ‬ᅚᕈ߇¸¾ߣߪ¿Àߥࠛ¹ߦࠃࠅ૕㊀ࠍᷫwߐߖࠆߣ૕º»3߇ᷫwߔࠆ‫ޕ‬૕º»3ߣ¼½

Áߦ޽ࠅ‫ޔ‬૕º»3ߩᷫwߪ‫[ޔ‬ÂਅÃ૕Äߩ+߈ࠍ²³ߒ‫⚻᦬ޔ‬ਇÅ‫ޔ‬Æ᦬⚻ߥߤߩ¼½¾ਇࠍ⿠ߎߔ‫ޕ‬㊀ߩÆ᦬⚻ߣߥߞߚวߦߪ‫ߩ¾½¼ޔ‬࿁Ç߇ÈÉߥߎߣȝ:ȝ߽޽ࠆߩߢ‫ޔ‬ㆊᐲߩ࠳ࠗࠛ࠶࠻ߪᵈᗧ߇ᔅⷐߢ޽ࠆ‫ޕ‬

࿑ 2 ૐ಴↢૕㊀ఽ㧔2,500g
ૐ಴↢૕㊀ఽ㧔2,500g ᧂḩߩ಴↢ఽ㧕ᢙߩᐕᰴផ⒖ෆᎽᯏ⢻ਇోߪ㛽ኒᐲߩૐਅ߽᜗ߊ 8㧕-3㧕ෆᎽᯏ⢻ਇోߪ‫ޔ‬㛽ߦࠞ࡞ࠪ࠙ࡓࠍᴉ⌕ߐߖࠆ૞↪ࠍ߽ߟࠛࠬ࠻ࡠࠥࡦߩಽᴲૐਅࠍ⿠ߎߒ‫ޔ‬㛽ኒᐲߩૐਅ
ࠍ᜗ߊ‫ోޕ‬りߩ㛽ᒻᚑࠍߺࠆߣ‫ޔ‬ᕁᤐᦼߩ㑆ߦ 40㨪60㧑߇ቢᚑߒ‫ޔ‬⣶ᬁ㛽ߢߪ 5 ᱦߢᦨᄢ㛽ኒᐲߦ೔㆐ߒ‫ޔ‬ߘࠇએ㒠‫ޔ‬㛽ኒᐲߪჇടߒߥ޿ߣ⸒ࠊࠇߡ޿ࠆ‫ޕ‬ㆊᐲߩ࠳ࠗࠛ࠶࠻ߪ㛽ᒻᚑߦᓇ㗀ࠍ෸߷ߔߣߣ߽ߦ‫ᦨޔ‬ᄢ㛽
㊂ߦ೔㆐ߒߚᓟߢ޽ߞߡ߽‫ޔ‬㛽ኒᐲࠍ⪺ߒߊૐਅߐߖࠆߎߣߦߥࠆ‫ޔߡߞ߇ߚߒޕ‬㛽☻㝃∝੍㒐ߩⷰὐ߆ࠄ߽
ㆊᐲߩ࠳ࠗࠛ࠶࠻ߪㆱߌࠆᔅⷐ߇޽ࠅ‫ޔ‬ᕁᤐᦼ߆ࠄߩචಽߥᵈᗧ߇ᔅⷐߢ޽ࠆ‫ޕ‬⢈ḩߩᅧᆼ࡮಴↥߳ߩᓇ㗀⢈ḩߩᅧᆼ࡮಴↥߳ߩᓇ㗀‫ޟ‬⢈ḩ‫ߦޠ‬ዻߔࠆ⠪㧔BMI25.0 એ਄㧕߇ᅧᆼߔࠆߣ‫ޔ‬ᅧᆼ♧ዩ∛‫ޔ‬ᅧᆼ㜞ⴊ࿶∝୥⟲㧔ᅧᆼਛᲥ∝㧕ߥߤࠍ⊒∝ߔࠆ࡝ࠬࠢ߇㜞߹ࠆ‫✕ޔߚ߹ޕ‬ᕆᏢ₺ಾ㐿‫ޔ‬ಽᇂᓟᄢ㊂಴ⴊ╬ߩ⇣Ᏹ߽ᄙߊߥࠆ 2㧕4㧕㧔⴫㧕‫ޔߒ߆ߒޕ‬ᅧᆼਛߦ૕㊀ࠍᷫዋߐߖߚࠅ‫ޔ‬Ⴧടࠍᭂ┵ߦᛥ೙ߔࠆߎߣߪ‫ޔ‬⢝ఽߩ⊒⢒߳ᓇ㗀ࠍ෸߷ߔߎߣߦ߽ߥࠆߩߢ‫ޔ‬‫ޟ‬⢈ḩ‫ߩޠ‬႐ว‫ޔ‬ᅧᆼਛߩ૕㊀ߩᄌൻߦߟ޿ߡߪ‫ޔ‬୘೎ߩኻᔕ߇ᔅⷐߣߥࠆ‫ޕ‬
⴫ 1 ⢈ḩᅧᇚߩᅧᆼ࡮ಽᇂ࡮ᣂ↢ఽ⇣Ᏹ

ȝ 21 ȝ

gpqrstuv wGx
wGx
‫ ޠ‬2 ࠍෳ⠨ߦ‫ޔ‬Í㘩㧔ÎߪÏ2Ð2Ñߥߤ㧕‫ޔ‬ÍÒ㧔Ó2Ô2¼ËÌ2ᄢ

‫ޟ‬㘩੐ࠬ

ÕËÌߥߤ㧕‫ޔ‬ÖÒ㧔㊁Ò2޿߽2Õ2×ØËÌߥߤ㧕ࠍ⚵ߺวࠊߖߚ㘩੐ߣߔࠆ‫߇ࠇߤޕ‬ᰳߌߡ߽‫ޔ‬ᄙߔ߉ߡ߽‫߇ࠬޔ‬Ùߊߥࠆ‫ޕ‬Í㘩ߪÚ㘩ᰳ߆ߐ‫ޔ‬ÍÒ‫ޔ‬ÖÒߣߣ߽ߦㆡÛ‫ޔ‬ÎߪÏ‫ޔ‬Ð‫ޔ‬Ñߥߤࠍ⚵ߺวࠊߖࠆ‫ޕ‬ÍÒߪÍ㘩ߦኻߒߡ`㊀ߒߥ޿ࠃ߁ߦߒ‫ޔ‬Ô‫ޔ‬ᄢÕÜຠߥߤࠍÝߞߚËÌ߽ขࠅ౉ࠇࠆࠃ߁ߦߔࠆ‫ޕ‬ÖÒߪᣣᏱߩ㘩↢ᵴߢਇ⿷ߒ߇Þߥߩߢ‫ߌߛࠆ߈ߢޔ‬q⼂⊛ߦචಽߥ៨ข㧔Ú㘩 'ß2 à㧕ࠍ ߇ߌࠆ‫ޕ‬[2?xstuvzd{E \5‫ޟ‬㘩੐ࠬ

‫ޟߪߣޠ‬㘩↢ᵴᜰ㊎‫ౕࠍޠ‬૕⊛ߥⴕ¬ߦ߮ߟߌࠆ߽ߩߣߒߡ‫ޔ‬‫ޟ‬૗ࠍ‫ޠ‬‫ޠߌߛࠇߤޟ‬㘩ߴߚࠄࠃ޿߆ࠍࠊ߆ࠅ߿ߔߊ

ࠬߢ␜ߒߚ߽ߩߢ޽ࠆ‫ޕ‬Í㘩‫ޔ‬ÖÒ‫ޔ‬ÍÒ‫ޔ‬á੃2੃Üຠ‫ޔ‬âߩ㧡ߟߩËÌಽࠍၮߣߒ‫ޔ‬㧝ᣣߦߣࠆËÌߩ⚵ߺวࠊߖߣ߅߅ࠃߘߩ㊂ࠍZߒߡ޿ࠆ‫ޕ‬㊂ߪ‫ޟ‬㧝ߟ㧔SV㧕‫ߢޠ‬Z
åߐࠇ‫ޟޔ‬SV‫ߪߣޠ‬æ࡯jçߩèߢ‫ޔ‬ฦËÌߦߟ޿ߡ㧝࿁RߚࠅߩḰ⊛ߥ㊂ࠍᄢ߹߆ߦ␜ߒߡ޿ࠆ‫ޕ‬é߃ê‫ޔ‬Í㘩ߩว‫ޔ‬ëìߩ߅ߦíࠅ㧝୘߇‫ޟ‬㧝ߟ‫ߦޠ‬Rߚࠆ‫ޕ‬ࠬߦߟ޿ߡߪ‫ޟޔ‬îï‫ࠍޠ‬ð࡯ñߒߚiߢ‫ޔ‬îïߩ࿁òࠍó¬ߣߺߥߒߡZߒ‫ޔ‬îïߩôࠍ/ಽߣߔࠆߎߣߢ‫ߩࠄࠇߘޔ‬㊀ⷐᕈ߽õ⺞ߒߡ޿ࠆ‫ޔߚ߹ޕ‬öሶ2÷øùËߦߟ޿ߡߪ‫ޔ‬㘩↢ᵴߩߢúߒߺߣߒߡû߃ࠄࠇߡ߅ࠅ‫ޔ‬㘩੐૕ߩߢߩ㊂⊛ߥࠬࠍ
⠨߃ߡㆡߦ៨ขߔࠆᔅⷐ߇޽ࠆߣߐࠇߡ޿ࠆ‫ޔ߅ߥޕ‬㘩üߦߟ޿ߡߪ‫ޔ‬ၮ⊛ߦËÌߩߦÝ↪ߐࠇࠆ߽ߩ
ߢ޽ࠅ‫ޔ‬ýîïþߩࠬߣߒߡZ⃻ߐࠇߡ޿ߥ޿߇‫ޔ‬ታ㓙ߩ㘩੐ㆬᛯߩߢZ␜ߐࠇࠆ㓙ߦߪ‫ޔ‬㘩üR㊂߽วࠊߖߡsႎឭtߐࠇࠆߎߣ߇ᦸ߹ࠇࠆ‫ޕ‬㧔ෳ⠨Ë ' ෳ㧕㧔ᐔᚑ '7 ᐕ)↢*+,2-./↥,ߢ_ᚑ2YZ㧕
}?xstuvzd{E~࿑ 3 ‫ޟ‬㘩੐ࠬ

‫ࠆߌ߅ߦޠ‬ฦËÌಽߩ㧝ᣣಽߩ⋡቟㊂

ȝ 22 ȝᢥ₂㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 5 ᐕ࿖᳃ஜᐽ࡮ᩕ㙃⺞ᩏႎ๔㧚
2㧕Ἇᧄ⑲⟤㧚ᅧᆼਛߩᲣ૕૕㊀Ⴧട㊂ߣᅧᆼォᏫߣߩ㑐ଥ㧚ᐔᚑ 6 ᐕᐲෘ↢ഭ௛⑼ቇ⎇ⓥ⾌⵬ഥ㊄㧔ሶߤ߽ኅᐸ✚ว⎇ⓥ੐ᬺ㧦ਥછ⎇ⓥ⠪ ศᳰା↵㧕‫޿⧯ޟ‬ᅚᕈߩ㘩↢ᵴߪߎߩ߹߹ߢ⦟޿ߩ߆㧫ᰴ਎ઍߩஜᐽࠍ⠨ᘦߦ౉ࠇߚᩕ㙃ቇ࡮੍㒐කቇ⊛ᬌ⸛‫ޠ‬ႎ๔ᦠ ಽᜂ⎇ⓥႎ๔ᦠ㧚
3㧕Barker DJ, Winter PD, Osmond C, Margetts B, Simmond SJ. Weight in infancy and death fromischaemic heart disease. Lancet. 982; 2 (8663): 577-580.
4㧕Phipps K, Barker DJ, Hales CN, Fall CH, Osmond C, Clark PM. Fetal growth and impaired glucose
tolerance in men and women. Diabetologia. 993; 36:225-228.
5㧕Fowden AL, Giussani DA, Forhead AJ. Endocrine and metabolic programming during intrauter
Ine development. Early Hum Dev. 2005;8:723-734.
6㧕Stocker CJ, Arch JR, Cawthorne MA. Fetal origins of insulin resistance and obesity.
Proc Nutr Soc. 2005 ;64:43-5.
7㧕Bertram C, Trowern AR, Copin N, Jackson AA, Whorwood CB.The maternal diet during pregnancy
programs altered expression of the glucocorticoid receptor and type 2 beta-hydroxysteroid
dehydrogenase:potential molecular mechanisms underlying the programming of hypertension inutero. Endocrinology. 200 ;42:284-2853.
8㧕⑔ጟ⑲⥝㧚೨Ꮉ⵨ሶ‫ޔ‬ᄥ↰ජ⿷㧚ᕈකቇ⊛⷗࿾߆ࠄߺߚ⧯ᐕᅚᕈߩ∳ߖ㗿ᦸߩ⢛᥊෸߮ౝಽᴲቇ⊛ಽᨆ ̆ᕁᤐᦼ૕㊀ᷫዋߩり૕߳ߩᓇ㗀̆ JASS Procedings 2000;2:42㧙48.
9㧕⑔ጟ⑲⥝‫᧻⿒ޔ‬ᐙ᮸㧚ᕁᤐᦼ∳ߖ∝ߩ㛽ߣᅧሺᕈߦኻߔࠆක≮ࠨࡐ࡯࠻㧚㨜78-89. ෘ↢ഭ௛⋭⎇ⓥ㧦ᕁᤐᦼ∳ߖ∝ߣᕁᤐᦼߩਇஜᐽ∳ߖ⟲ߩታᘒᛠី෸߮ኻ╷ߦ㑐ߔࠆ⎇ⓥ⃰✬㓸‫ޟ‬ᕁᤐᦼ∳ߖ⟲ዊߩ⸻ᢿߣᴦ≮ࠟࠗ࠼‫ޠ‬ಽశၴ‫ޔ‬2005
0㧕Jones KP, Ravnikar VA, Tulchinsky D, Schiff I.Comparison of bone density in amenorrheic
women due to athletics, weight loss, and premature menopause.

Obstet Gynecol.

985 ;66:5-8.
㧕Bruni V, Bigozzi L, Dei M, Brandi ML. Bone mineral metabolism in diet-induced amenorrhea.
Ann N Y Acad Sci. 997;7;86:250-262.
2㧕Ⴆᧄᶈሶ‫⑔ޔ‬ጟ⑲⥝㧚㛽☻㝃∝੍㒐ߩⷞὐ߆ࠄ⷗ߚ᦬⚻ߣ㛽ઍ⻢േᘒ㧚ౝಽᴲ࡮♧ዩ∛⑼ 2004;
9:435-44.
3㧕Laura K, Trevor H, May-ChooWang, Balasubramanian N,Robert M. Bone Mineral Acquisition in
Healthy Asian, Hispanic, Black, and Caucasian Youth: A Longitudinal Study

J ClinEndocrinol Metab 999;84:4702-472.
4㧕Sebire NJ, et al. Int J Obes Relat Metab Disord 200;25:75-82.

5㧕ෘ↢ഭ௛⋭࡮ㄘᨋ᳓↥⋭㧚ࡈ࡯࠼ࠟࠗ࠼㧔઒⒓㧕ᬌ⸛ળႎ๔ᦠ㧚㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㧚2005

ȝ 23 ȝ

ᅧᆼᦼ࡮᝼੃ᦼߦߪࠛࡀ࡞ࠡ࡯ߩᔅⷐ㊂߇Ⴧടᅧᆼᦼ࡮᝼੃ᦼߦߪࠛࡀ࡞ࠡ࡯ߩᔅⷐ㊂߇Ⴧടᅧᆼᦼߦߪ‫ޔ‬Უ૕ߩࠛࡀ࡞ࠡ࡯ᶖ⾌㊂ߦട߃ߡ‫ޔ‬⢝ఽߩ⊒⢒ߩߚ߼ߩࠛࡀ࡞ࠡ࡯㊂ࠍ⏕଻ߔࠆᔅⷐ߇޽ࠆ‫ޕ‬ᅧᆼᦼߦᔅⷐߥࠛࡀ࡞ࠡ࡯㊂ߪ‫ޔ‬㘩੐៨ขၮḰ㧖3 ߦ߅޿ߡ‫ޔ‬㕖ᅧᆼᤨߦᔅⷐߥࠛࡀ࡞ࠡ
࡯㊂ߦઃടߔߴ߈㊂㧔ઃട㊂㧕ߣߒߡ␜ߐࠇ‫ޔ‬ᅧᆼೋᦼ㧔6 ㅳᧂḩ㧕ߢ㧗50kcal‫ޔ‬ਛᦼ㧔6㨪28 ㅳᧂḩ㧕ߢ㧗250kcal‫ᦼᧃޔ‬㧔28 ㅳએ㒠㧕ߢ㧗500kcal ߣߥߞߡ޿ࠆ 㧕‫ޔߚ߹ޕ‬᝼੃ᦼߦߪ‫ޔ‬Უ੃ߩ↥↢ߩߚ߼ߩࠛࡀ࡞ࠡ࡯㊂߇ᔅⷐߣߐࠇ‫ߩߘޔ‬ઃട㊂ߪ㧗450kcal ߣߥߞߡ޿ࠆ 㧕‫ޕ‬
⴫ 2 ࠛࡀ࡞ࠡ࡯៨ขၮḰ㧔ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂ࠛࡀ࡞ࠡ࡯៨ขၮḰ㧔ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂㧦㧔ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂㧦 ᣣᒰߚࠅ㧕り૕ᵴേ࡟ࡌ࡞ᵈ㧕

ᅚᕈ

ᅧᇚ

᝼੃ᇚ

Σ

Τ

Υ

8㧙29 ᱦ,750kcal

2,050kcal

2,350kcal

30㧙49 ᱦ,700kcal

2,000kcal

2,300kcal

ೋᦼ㧔6 ㅳᧂḩ㧕

+50kcalਛᦼ㧔6㨪28 ㅳᧂḩ㧕

+250kcalᧃᦼ㧔28 ㅳએ㒠㧕

+500kcal+450kcal᝼੃ᇚᵈ㧕り૕ᵴേ࡟ࡌ࡞
Σ㧦↢ᵴߩᄢㇱಽ߇ᐳ૏ߢ‫ޔ‬㕒⊛ߥᵴേ߇ਛᔃߩ႐ว‫ޕ‬Τ㧦ᐳ૏ਛᔃߩ઀੐ߛ߇‫ޔ‬⡯႐ౝߢߩ⒖േ߿┙૏ߢߩ૞ᬺ‫ޔ‬ធቴ╬‫ߪ޿ࠆ޽ޔ‬ㅢൕ࡮⾈‛࡮シ޿ࠬࡐ࡯࠷╬ߩ޿ߕࠇ߆ࠍ฽߻႐ว‫ޕ‬Υ㧦⒖േ߿┙૏ߩᄙ޿઀੐߳ߩᓥ੐⠪‫ߤߥ࠷࡯ࡐࠬޔߪ޿ࠆ޽ޕ‬૛ᥜߦ߅ߌࠆᵴ⊒ߥㆇേ⠌ᘠࠍ߽ߞߡ޿ࠆ႐ว‫ޕ‬
㧖3㘩੐៨ขၮḰߣߪ㘩੐៨ขၮḰߣߪ‫ޔ‬ஜᐽߥ୘ੱ߹ߚߪ㓸࿅ࠍኻ⽎ߣߒߡ‫ޔ‬ஜᐽߩ⛽ᜬ࡮Ⴧㅴ‫࡮࡯ࠡ࡞ࡀࠛޔ‬ᩕ㙃⚛ᰳਲ∝ߩ੍㒐‫↢ޔ‬ᵴ⠌ᘠ∛ߩ੍㒐‫ޔ‬ㆊ೾៨ขߦࠃࠆஜᐽ㓚ኂߩ੍㒐ࠍ⋡⊛ߣߒ‫࡯ࠡ࡞ࡀࠛޔ‬෸߮ฦᩕ㙃⚛ߩ៨ข㊂ߩၮḰࠍ␜ߒߚ߽ߩߢ޽ࠆ‫ޕ‬ᅧ↥ᇚߦߟ޿ߡߪ‫ޔ‬㕖ᅧᆼᤨ࡮㕖᝼੃ᤨߩ㘩੐៨ขၮḰࠍᐕ㦂㓏⚖೎ߦ▚ቯߒߚ਄ߢ‫ߦࠇߘޔ‬ઃടߔߴ߈㊂ߣߒߡ␜ߐࠇߡ޿ࠆ‫ޔ߅ߥޕ‬‫ޟ‬ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕‫ޔߪޠ‬2005 ᐕ㧔ᐔᚑ 7 ᐕᐲ㧕4 ᦬߆ࠄ 200 ᐕ㧔ᐔᚑ 2 ᐕᐲ㧕3 ᦬߹ߢߩ 5 ᐕ㑆૶↪ߐࠇࠆ‫ޕ‬㧔ᐔᚑ 6 ᐕෘ↢ഭ௛⋭૞ᚑ࡮౏⴫㧕㧔ෳ⠨⾗ᢱ 2 ෳᾖ㧕‫ޣ‬㘩੐៨ขၮḰߩ⹦⚦‫ޤ‬

ȝ 24 ȝ

?E
?E q=
q=ߏߪࠎ‫ޔࡦࡄޔ‬㤖ߥߤߩਥ㘩ߪ‫ޔ‬ᅧᆼೋᦼ෸߮ਛᦼߢߪ㧝ᣣ 5㨪7 ߟ㧔SV㧕‫ޔ‬ᅧᆼᧃᦼ෸߮᝼੃ᦼ
ߢߪ㧝ᣣ 6㨪8 ߟ㧔SV㧕ࠍ⋡቟ߣߔࠆ‫⃻ޕ‬࿷ߩᣣᧄੱߩᐔဋ⊛ߥ㘩੐᭴ᚑߢߪ‫ߦ࡯ࠡ࡞ࡀࠛ✚ޔ‬භ߼ࠆ⢽⢌ࠛࡀ࡞ࠡ࡯ߩഀว߇㘩੐៨ขၮḰߢ⋡ᮡߣߐࠇࠆ▸࿐㧔29 ᱦ߹ߢߪ 20㧑એ਄㨪30㧑ᧂḩ‫ޔ‬69ᱦ߹ߢߪ 20㧑એ਄㨪25㧑ᧂḩ㧕ࠍ⿥߃ߡߒ߹߁ߎߣ߽ᄙ޿ߚ߼ 2㧕‫ޔ‬὇᳓ൻ‛ߩଏ⛎Ḯߣߥࠆਥ㘩ࠍਛᔃߣߒߚ㘩੐ࠍߔࠆߎߣ߇ᦸ߹ߒ޿㧔࿑ 4㧕‫߇⾰ߊ߬ࠎߚߪߦࠎߪߏޔߚ߹ޕ‬฽߹ࠇࠆ਄‫ޔ‬⢽⾰ߪዋߥߊ‫ޔ‬᭽‫ߥޘ‬ᢱℂߣ߽⺞๺ߔࠆߣ޿߁೑ὐࠍᜬߟߩߢ‫ޔ‬Ფᣣ‫ޔ‬ㆡ㊂៨ขࠍᔃ߇ߌࠆ‫ޕ‬

࿑ 4 ࠛࡀ࡞ࠡ࡯ߩᩕ㙃⚛೎៨ข᭴ᚑᲧ㧔ᅚᕈࠛࡀ࡞ࠡ࡯ߩᩕ㙃⚛೎៨ข᭴ᚑᲧ㧔ᅚᕈ,㧔ᅚᕈ,ᐕ㦂㓏⚖೎㧕 @ xstuvzd{xstuvzd{?E ‫ߩઁߩߘޣ‬ᢱℂ଀‫ޤ‬ ߟಽ㧦⊕߇ࠁ‫⺞ޔࡦࡄ߁ߤ߱ޔ‬ℂࡄࡦ‫ޔ‬ࡇࠩ࠻࡯ࠬ࠻㧔‐੃࡮੃⵾ຠ㧕‫ޔ‬ࡂࡦࡃ࡯ࠟ࡯㧔ਥ⩿㧕ߥߤ
2 ߟಽ㧦ߦ߉ࠅߕߒ㧔ਥ⩿㧕‫ⷫޔ‬ሶਦ㧔೽⩿‫ޔ‬ਥ⩿㧕‫ޔ‬࠴ࡖ࡯ࡂࡦ㧔೽⩿‫ޔ‬ਥ⩿㧕‫ޔ‬ࠞ࡟࡯࡜ࠗࠬ㧔೽⩿‫ޔ‬ਥ⩿㧕ߥߤᵈ㧦㧔 㧕ߪⶄวᢱℂࠍ␜ߒߡ߅ࠅ‫ޔ‬ਥ㘩એᄖߦ฽߹ࠇࠆᢱℂ඙ಽࠍ⸥タߒߡ޿ࠆ‫ޕ‬

ȝ 25 ȝ

㘩੐ߩ㘩੐ߩࡃ࡜ࡦࠬ߿ᵴേ㊂ߦ߽㈩ᘦࠍ
㘩੐ߩࡃ࡜ࡦࠬߦߟ޿ߡߪ‫ޡޔ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ࠍޢ‬ෳ⠨ߣߔࠆ㧔6 㗁࿑ 5 ෳᾖ㧕‫ޕ‬‫ޡ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޔߪޢ‬‫ޟ‬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ߩޠ‬ਥ㘩‫ޔ‬೽⩿‫ޔ‬ਥ⩿ߥߤߩ㧡ߟߩᢱℂ඙ಽߣߘߩ㧝ᣣಽߩ⋡቟ߣߥࠆ㊂ࠍၮᧄߦ‫ޔ‬ᅧᆼᦼ෸߮᝼੃ᦼߦߟ޿ߡ㘩੐៨ขၮḰߦ␜ߐࠇߚࠛࡀ࡞ࠡ࡯෸߮ฦ⒳ᩕ㙃⚛㊂ࠍḩߚߔࠃ߁ߦ‫ޔ‬ฦᢱℂ඙ಽߩઃട㊂ࠍ␜ߒߚ߽ߩߢ޽ࠆ‫ޕ‬ࠦࡑߩฝ஥ߦ␜ߐࠇߡ޿ࠆ‫ޟ‬㧝ᣣಽ‫ߪޠ‬㕖ᅧᆼᤨ 2000㨪2200kcal ߩ⋡቟ߣߥࠆ⚵วߖߣ߅߅ࠃߘߩ
㊂ߢ޽ࠆ‫ޕ‬ᅧᆼೋᦼߪߎߩ㊂ࠍ⋡቟ߣߒ‫ޔ‬ᅧᆼਛᦼߦߪ೽⩿‫ޔ‬ਥ⩿‫ޔ‬ᨐ‛ߩᢱℂ඙ಽߦ߅޿ߡ‫ߚ߹ޔ‬ᅧᆼᧃᦼ෸߮᝼੃ᦼߦߪߔߴߡߩᢱℂ඙ಽߦ߅޿ߡ‫ޔ‬㕖ᅧᆼᤨ࡮ᅧᆼೋᦼߦߘࠇߙࠇઃടߒߚ㊂ࠍ⋡቟ߣߔࠆߎߣ߇ᦸ߹ߒ޿‫ߚ߹ޕ‬ᵴേ㊂ߦᔕߓߡߎߩ⋡቟ߣߥࠆ㊂ߩ᏷ߩ⺞ᢛࠍⴕ߁ߎߣ߽ᔅⷐߢ
޽ࠆ‫ޔ߅ߥޕ‬ฦᢱℂ඙ಽߦኻߒߡ␜ߐࠇߡ޿ࠆ⋡቟ߩ㊂ߪ  ᣣಽߢ޽ࠆ߇‫ޔ‬㘩੐ߩ㊂߿ౝኈߪᣣ‫ޔޘ‬ᄌࠊࠆ߽ߩߢ޽ࠅ‫ޔ‬⠌ᘠ⊛ߥ៨ขࠍ޽ࠊߖߡ⠨ᘦߔࠆᔅⷐ߇޽ࠆ‫ޕ‬૕㊀ߪ⚻ᤨ⊛ᄌൻࠍ⏕⹺ᅧᆼᦼߩ૕㊀ߦߟ޿ߡߪ‫⥋ޔ‬ㆡ૕㊀Ⴧട㊂㧖4 ࠍෳ⠨ߦ‫ޔ‬㕖ᅧᆼᤨߩ૕ᩰ඙ಽߦᔕߓߚᄌൻߦߥࠆ
ࠃ߁⛮⛯⊛ߦ⏕⹺ߒߡ޿ߊ‫ޕ‬ᅧᆼਛߩ૕㊀Ⴧട㊂ߪ‫࡯ࠡ࡞ࡀࠛޔ‬៨ข㊂߿ࠛࡀ࡞ࠡ࡯ᶖ⾌㊂ߦࠃߞߡੱߘࠇߙࠇ⇣ߥߞߡߊࠆ‫ޕ‬઒ߦหߓࠛࡀ࡞ࠡ࡯៨ข㊂ߢ߽‫ޔ‬୘‫ߡߞࠃߦੱޘ‬૕ᚑಽߩวᚑ࡮ಽ⸃
߿ᦨૐ㒢ߩ⤳ེߩᵴേߥߤࠍ⛽ᜬߔࠆၮ␆ઍ⻢㊂‫ޔ‬り૕ᵴേ㊂ߥߤ߇⇣ߥࠆߚ߼‫ޔ‬૕㊀ߩᄌൻߦߪ
୘ੱᏅ߇↢ߓࠆߎߣߦߥࠆ‫ޔߢߎߘޕ‬㘩੐㊂ߪ૕㊀ߩᄌൻࠍ⏕⹺ߒߥ߇ࠄ⷗⋥ߒߡ޿ߊߎߣ߇ၮᧄ
ߣߥࠆ‫ޕ‬*4⥋ㆡ૕㊀Ⴧട㊂ߣߪ⹦⚦ߪ 28-29 㗁ߩ‫ޟ‬૕ᩰ඙ಽ೎ ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ૕㊀Ⴧട㊂‫ޠ‬෸߮‫ޟ‬૕ᩰ඙ಽ೎
ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ  ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂‫ࠍޠ‬ෳᾖ‫ޕ‬ᅧᆼᦼᅧᆼᦼ࡮᝼੃ᦼߪⴕേᄌኈߩᅢᯏ
࡮᝼੃ᦼߪⴕേᄌኈߩᅢᯏ
ᅧᆼߒߡ߆ࠄ‫ޟ‬ሶߤ߽ߩߚ߼ߦ‫߁޿ߣޠ‬േᯏߠߌ߇㜞߹ࠅ‫ޔ‬ᅧᆼᦼ࡮᝼੃ᦼߪ‫ޔ‬㘩↢ᵴࠍߪߓ߼༛ᾍ‫ޔ‬㘶㈬‫ޔ‬り૕ᵴേߥߤ↢ᵴో૕ࠍ⷗⋥ߔᄾᯏߦߥࠅ߿ߔ޿‫৻ޔߚ߹ޕ‬ᣇߢᅧᆼ࡮಴↥ߦਇ቟ࠍᗵߓ‫ࠄߥ߫ࠇߌߥߒ߁ߎޟޔ‬ߥ޿‫⽶ߣޠ‬ᜂߦᗵߓࠆ႐ว߽޽ࠆ‫ޕ‬ᅧᆼᦼ࡮᝼੃ᦼࠍ࡜ࠗࡈࠬ࠲ࠗ࡞ߩᡷༀߩᅢᯏߣߣࠄ߃‫ޔ‬කᏧ‫ޔ‬ഥ↥Ꮷ‫଻ޔ‬ஜᏧ‫⼔⋴ޔ‬Ꮷ‫▤ޔ‬ℂᩕ㙃჻ߥߤߩኾ㐷ኅߩᡰេࠍฃߌߥ߇ࠄ‫⥄߇ࠅߣ߭ੱ৻ޔ‬Ꮖ▤ℂ⢻ജࠍりߦߟߌ‫ޔ‬ஜᐽߩ⛽ᜬ࡮Ⴧㅴࠍ⋡⊛ߣߒߚㆡಾߥ↢ᵴ⠌ᘠߩ⏕┙߇࿑ࠄࠇࠆࠃ߁ߦߔࠆ‫ޕ‬ᢥ₂㧕ෘ↢ഭ௛⋭㧚ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕㧚2㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 5 ᐕ࿖᳃ஜᐽ࡮ᩕ㙃⺞ᩏႎ๔㧚

ȝ 26 ȝ

ȝ 27 ȝ

ȼˍ

ȝ

ȼˍ

ȼˍ

ȼˍ

ȼˍ

ȼˍ

ȼˍ

ළૡྎ‫ܢ‬
਎!඿!‫ܢ‬ၳȁȁၑȁȁ႕ȁ૙‫؂‬Ȇ࿳ড̞͉̾̀ͅၳၑ͈ಎͅঀဥ̯̞͈̜ͦ̀ͥ́ͤ͜Ȃȶ΋ζȷ͈ͼρΑΠ̱͂̀ນ̵࡛̯̞̦ͦ̀ͭ͘Ȃ৘ष͈૙ম஖఼͈ા࿂́ນা̯ͦͥष͉ͅ૙‫؂‬௖൚ၾ͞ডৗ̵ࣣͩ̀͜ૂ༭೹‫̦̭̯͂ͥͦރ‬བ̳ͦ͘͘ȃ࢚୆Ⴛ൱જ‫͍ݞ‬෠ႅକॲજ̦૙୆‫ڰ‬ঐૻͬߓఘഎ࣐̈́൲͍̫͈̱ࠫ̾ͥ͂̀͜ͅै଼Ȇ࢖ນ̱̹ȶȁȁȁȁȁȁȁȁȁȁȷ
Ȫ3116 ාȫͅȂ૙ম୫৾‫ܖ‬੔͈ළૡ‫ܢ‬Ȇ਎඿‫حັ͈ܢ‬ၾͬ४ࣉ֚ͅ໐‫ح‬ຊȁ̭͈ͼρΑΠ͈ၳၑ႕ͬழ̵̷͙ࣣ̤̤ͩͥ͂͢ 3-311ldbmȃ
๱ළૡশȆළૡ੝‫ܢ‬Ȫ31 ȡ 5: प੫଻ȫ͈૸ఘ‫ڰ‬൲τασȶ͏̠̾Ȫ‫ء‬ȫȷոષ͈ˍ඾໦͈ഐၾͬা̱̞̳̀͘ȃ

ȝ

ȝ

ȝ

ȼˍ

ȝ

ළૡಎ‫ܢ‬

๱ළૡশȂළૡ੝‫ˍ͈ܢ‬඾໦ͬ‫ུ̱͂ܖ‬Ȃළૡಎ‫ܢ‬Ȃළૡྎ‫ܢ‬Ȇ਎඿‫̸̷͈͉༷͈ͦͦܢ‬იඤ͈ັ‫ح‬ၾͬ༞̠̭̦͂ຈါ̳́ȃ

̾Ȫ˯˲ȫ

ˎ

̾Ȫ˯˲ȫ

ˎ

̾Ȫ˯˲ȫ

ˏȡˑ

̾Ȫ˯˲ȫ

ˑȡ˒
ȝ

ȝ

ˑȡ˓
̾Ȫ˯˲ȫ

ළૡ੝‫ܢ‬

๱ළૡশˍ඾໦ັ‫ح‬ၾ଎ˑȁළॲິ͈̹͈͛૙মΨρϋΑ΄ͼΡ?E 
9:
㊁⩿ߦߪ‫ޔ࡞࡜ࡀࡒޔࡦࡒ࠲ࡆޔ‬㘩‛❫⛽ߥߤ‫ޔ‬ஜᐽߩ⛽ᜬ࡮Ⴧㅴߦᔅⷐߥᩕ㙃ᚑಽ߇ᄙߊ฽
߹ࠇߡ޿ࠆ‫ޕ‬ᅧᆼᦼ࡮᝼੃ᦼߢߪ‫ޔ‬Უ૕ߩஜᐽ෸߮⢝ఽߩ⊒⢒ࠍ⏕଻ߒ‫ߚ߹ޔ‬Უ੃ߩಽᴲ㊂ߣ฽
᦭ߔࠆᩕ㙃ᚑಽࠍ⏕଻ߔࠆߚ߼‫ޔ‬චಽߥฦ⒳ࡆ࠲ࡒࡦ߿ࡒࡀ࡜࡞ߥߤ߇ᔅⷐߣߐࠇࠆ㧔⴫ 3㧕㧕‫ޕ‬⃻࿷‫ޔ‬ᣣᧄੱߩ㊁⩿៨ข㊂ߪᐔဋ⊛ߦዋߥߊ‫ ߦ․ޔ‬20 ᱦઍᅚᕈߢ 242g‫ޔ‬30 ᱦઍᅚᕈߢ 240g2㧕ߣ‫ޔ‬㧝ᣣߩ៨ข⋡ᮡߣߐࠇࠆ 350㨓3㧕ࠍᄢ߈ߊਅ࿁ߞߡ޿ࠆ㧔࿑ 6㧕‫ޕ‬㊁⩿‫ޔ߽޿ޔߎߩ߈ޔ‬ᶏ⮺ࠍਥ᧚ᢱߣߔࠆ‫ޟ‬೽⩿‫ޔߪޠ‬ᅧᆼೋᦼߢߪ  ᣣ 5㨪6 ߟ㧔SV㧕‫ޔ‬ᅧᆼਛᦼ෸߮ᧃᦼ‫ޔ‬᝼੃ᦼߢߪ 6㨪7 ߟ㧔SV㧕ࠍ⋡቟ߣߔࠆ‫ޔߚ߹ޕ‬㊁⩿ߪ‫ޔࠆߢ⨨ޔ‬ᾚࠆߥߤߩ⺞ℂᴺߦࠃߞߡ‫߽ࠅࠃ↢ޔ‬ᄙߊߩ㊁⩿㊂ࠍ៨ขߔࠆߎߣ߇ߢ߈ࠆߩߢ‫⺞ޔ‬ℂᴺࠍᎿᄦߔࠆ‫ޕ‬
⴫ 3 ᅧᆼᦼ࡮᝼੃ᦼߦ߅ߌࠆਥߥࡆ࠲ࡒࡦ‫ߤߥ࡞࡜ࡀࡒޔ‬ᅧᆼᦼ࡮᝼੃ᦼߦ߅ߌࠆਥߥࡆ࠲ࡒࡦ‫ߩߤߥ࡞࡜ࡀࡒޔ‬㘩੐៨ขၮḰߥߤߩ㘩੐៨ขၮḰ㧔ߩ㘩੐៨ขၮḰ㧔 ᣣᒰߚࠅ㧕ࡆ࠲ࡒࡦ㧮㧝

ࡆ࠲ࡒࡦ㧮㧞

⪲㉄۲

ࡆ࠲ࡒࡦ㧯

ࡆ࠲ࡒࡦ㧭

㋕

ࠞ࡞ࠪ࠙ࡓ۲2

ផᅑ㊂
ផᅑ㊂

ផᅑ㊂

ផᅑ㊂

ផᅑ㊂

ផᅑ㊂

⋡቟㊂

᦬⚻޽ࠅ

᦬⚻ߥߒ

mg

mg

Ǵg

mg

ǴgRE

mg

mg

mg

8㧙29 ᱦ

.

.2

240

00

600

700

0.5

6.5

30㧙49 ᱦ

.

.2

240

00

600

600

0.5

6.5

+0

+0

+0.

+0.2

+200

+0

+70

㧙

㧙

+3.0

+0.3

+0.3

+0.

+0.4

+00

+50

+420

㧙

㧙

㧗2.5

ᅚᕈ

ᅧ

ᇚ

ೋᦼ
㧔6 ㅳᧂḩ㧕ਛᦼ㧔6㨪28 ㅳᧂḩ㧕ᧃᦼ
㧔28 ㅳએ㒠㧕᝼੃ᇚ۲ᅧᆼࠍ⸘↹ߒߡ޿ࠆᅚᕈ෶ߪᅧᆼߩน⢻ᕈ߇޽ࠆᅚᕈߪ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ࡝ࠬࠢߩૐᷫߩߚ߼ߦ‫ޔ‬400Ǵg㧛ᣣߩ⪲㉄៨ข߇ᦸ߹ࠇࠆ‫ޕ‬

۲2ᅧᇚ‫ޔ‬᝼੃ᇚߩࠞ࡞ࠪ࠙ࡓઃട㊂ߪ⸳ߌߡ޿ߥ޿߇‫⋡ޔ‬቟㊂ࠍ៨ขߒߡ޿ࠆߎߣ߇ၮᧄߣߥࠆߩߢ‫ޔ‬Ⓧᭂ⊛ߥ៨ข߇ᦸ߹ࠇࠆ‫ޕ‬ߥ߅‫ޔ‬ᅧᇚ‫ޔ‬᝼੃ᇚߩ࠽࠻࡝࠙ࡓߩ⋡ᮡ㊂ߪ‫ޔ‬㜞ⴊ࿶ߥߤ‫↢ޔ‬ᵴ⠌ᘠ∛੍㒐ߩⷰὐ߆ࠄ‫ޔ‬㕖ᅧᆼᤨ‫ޔ‬㕖᝼੃ᦼߣหߓ ᣣ޽ߚࠅ 8g ᧂḩߣߔࠆ‫ߩߎޔߒߛߚޕ‬୯ߪᒰ㕙ߩ⋡ᮡߣߒߡ␜ߐࠇߡ޿ࠆ߽ߩߢ޽ࠅ‫ޔ‬㜞ⴊ࿶ߩ࡝ࠬࠢࠍࠃࠅૐ
ਅߐߖࠆⷰὐ߆ࠄߪ‫ޔ‬ኻ⽎ߦᔕߓߡߐࠄߦૐ޿៨ข㊂ࠍ⋡ᜰߔߴ߈ߣߐࠇࠆ‫ޕ‬

ȝ 28 ȝ

࿑ 6 ㊁⩿៨ข㊂㧔ᅚᕈ,㊁⩿៨ข㊂㧔ᅚᕈ,ᐕ㦂㓏⚖೎㧕 @ xstuvzd{xstuvzd{?E ‫ߩઁߩߘޣ‬ᢱℂ଀‫ޤ‬ ߟಽ㧦ᤐ⩵ߩߏ߹޽߃‫ߩ߾ߜ߷߆ޔ࡯࡝ࠦ࠶ࡠࡉߢ⨨ޔ‬ᾚ‛‫ޔ‬ࠠࡖࡌ࠷ߩࠨ࡜࠳‫ޔ‬㊁⩿ࠬ࡯ࡊ‫ޔ߁߷ߏࠄ߯ࠎ߈ޔ‬ᨑ⼺‫ޔ‬ಾࠅᐓߒᄢᩮߩᾚ‛‫ޔࡊ࡯ࠬࡦ࡯ࠦޔ‬ࡐ࠹࠻ࠨ࡜࠳ߥߤ
2 ߟಽ㧦㕍⩿ߩἼ߼‛‫ߤߥࠤ࠶ࡠࠦޔ‬ȝ 29 ȝ

9: 
㊁Ò 5 ߪ‫ ޔ‬㧔jkl㊁Òߩߢ߽‫ࠇ߁ޔ‬Ï‫ ߆ޔ‬Þ ‫ ޔ‬¹î࡝࡯ߥߤߩ

 A ߩ৻⒳㧕ࠍߪߓ߼‫ߩߤߥޔ࡞ޔ㉄⪲ޔ‬tߣߥࠆ‫ߩߘޕ‬ᐔ៨ข㊂ߪ‫ޔ‬20 4ઍᅚ
ᕈߢ 79g‫ޔ‬30 4ઍᅚᕈߢ 822㧕ߣ‫ޔ‬㧝ᣣߩ៨ข⋡ߣߐࠇࠆ '203㧕ࠍᄢ߈ߊਅ࿁ߞߡ߅ࠅ‫ޔ‬d⊛ߦ
[5

㊁Òࠍ៨ขߔࠆᔅⷐ߇޽ࠆ㧔࿑ 6㧕‫ޕ‬
㘩W '00g Rߚࠅ ㊂߇ 600g ¤਄ߩ㊁Òߦട߃ߡ‫ޔ‬෸߮╬ࠍ⠨ߒߚ਄ߢï߿࡯ïߥߤߩ৻Wߩ㊁Òࠍߥ߅‫ޔ‬

㊁Òߣߒߡߪ‫ࠬޔ‬Ð࡯ï#‫ޔ‬



߼ߚ㊁Òࠍ

ࠬ‫ ߆ޔࠢޔ‬㧔⪲㧕‫߆ޔ‬Þ

㊂߇ 600g £ḩߢ޽ࠆ߇៨ข㊂
㊁Òߣߒߡ޿ࠆ‫ޕ‬‫!ޔ‬æ ‫ޔ‬ñ࡞‫ޔ‬Ð"࡝‫ޔ‬¹î࡝࡯‫ޔ‬ï#‫ߥޔ‬êߥ#‫ࠄߦޔ‬#‫ߦޔ‬ÏߓÏ#‫ߨޔ‬í#‫ࠇ߁ޔ‬Ïߘ߁‫ޔ‬$%&ߥߤ߇޽ࠆ‫ޕ‬㧔‫('ޟ‬ᣣ㘩ຠḰᚑಽZ‫ߩޠ‬ข)޿ߩq^ߦߟ޿ߡ*ᐔᚑ '3 ᐕ 6 ᦬ 28 ᣣ)↢*+,ஜᐽ+,-e↢ᵴ⠌ᘠ∛ኻ╷.

ㅢ⍮㧕 ¡¢£¤ ¥¦§v¨©ª @«¬9:
⪲㉄ߪ‫ޔ‬jkl B ߦ/ߔࠆ/0ᕈjklߢ‫ޔ‬1ߦ_↪ߒ‫ޔ‬ਇ⿷ߔࠆߣ2߇↢ߓࠆߎߣ߇޽ࠆ‫ޕ‬ᅧᆼߦࠃߞߡ⪲㉄ߩᔅⷐ㊂ߪჇᄢߔࠆߩߢ‫ޔ‬ᅧᆼߩផᅑ㊂ 240g ߦᅧᆼᦼߦߪ 200g ߩട㊂߇ᔅⷐߣߐࠇߡ޿ࠆ㧔Z 3㧕'㧕‫ޕ‬߹ߚ‫ߩ㉄⪲ޔ‬៨ขߪ‫ޔ‬ᄙߊߩ3ቇ⊛⎇ⓥߦࠃࠅ4ಽ56ߥߤߩ␹⚻▤㐽㎮㓚ኂ 6 ߩ⊒∝࡝ࠬࠢࠍૐᷫߔࠆߎߣ߇~ࠄ߆ߦߐࠇߡ߅ࠅ‫ޔ‬ᅧᆼ ' ߆᦬¤਄೨߆ࠄ 3 ߆᦬߹ߢߩ[‫ߩߘ߼ߓߪࠍ㉄⪲ޔ‬7
ߩjklߥߤࠍᄙߊ ߻ᩕ㙃ߩࠬߩߣࠇߚ㘩੐߇ᔅⷐߢ޽ࠆߣᜰbߐࠇߡ޿ࠆp㧕‫ޕ‬p㧕R‫ޔ‬㘩ຠ߆ࠄߩ⪲㉄៨ขߦട߃ߡ‫ࠊ޿ޔ‬8ࠆᩕ㙃9:㘩ຠ߆ࠄ ' ᣣ 0.4mg ߩ⪲㉄ࠍ៨ขߔࠇê‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢ߇v<ߣߒߡߺߚวߦૐᷫߔࠆߎߣ߇ᦼ=ߢ߈ࠆ>sႎឭtࠍⴕ߁‫ࠊ޿ޔߒߛߚޕ‬8ࠆᩕ㙃
9:㘩ຠߪߘߩ?@ᕈߥߤ߆ࠄno៨ขߦߟߥ߇ࠅ߿ߔ޿ߎߣ߽〯߹߃‫ޔ‬කAߩ▤Ìਅߦ޽ࠆวࠍB߈‫㉄⪲ޔ‬៨ข㊂ߪ ' ᣣRߚࠅ 'mg ࠍC߃ࠆߴ߈ߢߪߥ޿ߎߣࠍᔅ޽ࠊߖߡsႎឭtߔࠆ‫ޕ‬㧔ෳ⠨Ë 3 ෳ㧕‫▤⚻␹ޟ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߩᅧᆼߥᐕDߩᅚᕈ╬ߦኻߔࠆ⪲㉄៨ขߦㅴߦߟ޿ߡ‫ޠ‬㧔ᐔᚑ '2 ᐕ '2 ᦬ 28 ᣣ)↢,ఽEFG+\ሶ଻ஜe㙃e↢ᵴ⠌ᘠ∛ኻ╷.
}­'[6ߔࠆsႎឭtߩផ2)↢,଻ஜක≮+HI଻ஜJஜᐽჇㅴᩕ

ㅢ⍮㧕ࠃࠅ৻WKL~ ¡¢£¤␹⚻▤㐽㎮㓚ኂߣߪ‫ޔ‬Â߿5Mߥߤ‫ޔ‬N␹⚻Äߩߦߥࠆ␹⚻▤߇ᱜᏱߦiᚑߐࠇߥ޿ߎߣߦ⿠Oߔࠆ
㓚ኂߢ޽ࠅ‫ޔ‬Pว⊛ߥⷐOߦࠃࠅ⊒∝ߔࠆ߽ߩߢ޽ࠆ‫ߩ▤⚻␹ޕ‬ਅWߩ㐽㎮㓚ኂࠍ4ಽ56ߣ޿޿‫ߩߘޔ‬㓚ኂ߇⿠߈ߚWQߢ‫ޔ‬56ߩ㛽‫ߦ߮ࠄߥޔ‬RSߩᰳT߇⿠ߎࠅ‫ޔ‬56߇චಽߦUࠄࠇߡ޿ߥ޿ߚ߼‫⚻␹ޔ‬⚵Vߦ㓚ኂ߇⿠ߎࠅ‫ޔ‬WX߿YZߩ¾㓚ኂ‫ޔ‬ਅ[ߩó¬㓚ኂࠍ⿠ߎߔߎߣ߇޽ࠆ‫▤⚻␹ޕ‬਄Wߩ㐽㎮㓚ኂߢߪ‫ޔ‬Âߦ\]ߩ޽ࠆÂ]߿Âߩ⊒x߇ߢ߈ߥ޿ÆÂ∝ߥߤ߇⿠ߎࠆ‫ޕ‬ᣣߦ߅޿ߡ␹⚻▤㐽㎮㓚ኂߩ
⊒↢3ߪ '998 ᐕRߢ಴↥㧔^↥ࠍ߻㧕㧝_ੱኻ 6.0‫߁ޔ‬Þ4ಽ56ߪ 3.2 `ߢ޽ࠅ‫ޔ‬4ಽ56ߦߟ

޿ߡߪ 2003 ᐕߦ 6.' ߦߥߞߚߣႎ๔ߐࠇߡ޿ࠆ‫ޕ‬ȝ 2: ȝ

⪲㉄ߩ៨ขߦߪ
⪲㉄ߩ៨ขߦߪ
⪲㉄ߪ‫✛ޔ‬㤛⦡㊁⩿ࠍߪߓ߼‫⼺ޔ‬㘃‫ޔ‬ᨐ‛ߥߤߩりㄭߥ㘩ຠߦᄙߊ฽߹ࠇ‫⺞ޔ‬ℂߦࠃࠆ៊ᄬ߿૕
ౝߦ߅ߌࠆ⫾Ⓧᕈ߇ૐ޿ߎߣࠍ⠨߃ߡ‫ޔ‬Ფᣣ៨ขߔࠆߎߣ߇ᔅⷐߢ޽ࠆ‫ޕ‬㘩੐߆ࠄߩㆡᱜߥ⪲㉄៨ข߇࿎㔍ߥ႐วߪ㘩੐ో૕ߩࡃ࡜ࡦࠬߦ⇐ᗧߩ਄‫ޔ‬ᩕ㙃ᯏ⢻㘩ຠ㧖7 ߩ೑↪߽ផᅑߔࠆ‫ޕ‬㧖7ᩕ㙃ᯏ⢻㘩ຠߣߪ
ᩕ㙃ᯏ⢻㘩ຠߪ‫․ޔ‬ቯߩᩕ㙃ᚑಽࠍ฽߻߽ߩߣߒߡෘ↢ഭ௛ᄢ⤿߇ቯ߼ࠆၮḰߦᓥ޿ᩕ㙃ᚑಽߩᯏ⢻ࠍ⴫␜ߒߚ㘩ຠߢ޽ࠅ‫ޔ‬㜞㦂ൻ߿㘩↢ᵴߩੂࠇߥߤߦࠃࠅ‫ޔ‬ㅢᏱߩ㘩↢ᵴࠍⴕ߁ߎߣ߇㔍ߒߊ‫ޔ‬㧝ᣣߦᔅⷐߥᩕ㙃ᚑಽࠍ៨ࠇߥ޿႐วߥߤ‫ޔ‬ᩕ㙃ᚑಽߩ⵬⛎࡮⵬ቢߩߚ߼ߦ೑↪ߒߡ߽ࠄ߁ߎߣࠍ⿰ᣦߣߒߚ߽ߩߢ޽ࠆ‫ޕ‬⃻࿷‫ޔ‬ᩕ㙃ᯏ⢻㘩ຠߩⷙᩰၮḰߪ 7 ⒳㘃㧔ࡆ࠲ࡒࡦ 2 ⒳㘃‫ ࡞࡜ࡀࡒޔ‬5 ⒳㘃㧕ߦ⸳ቯߐࠇߡ߅ࠅ‫ߩ㉄⪲ޔ‬႐วߪ‫ޔ‬㧝ᣣᒰߚࠅߩ៨ข⋡቟㊂ߦ฽߹ࠇࠆ⪲㉄ߩ฽᦭㊂߇‫ޔ‬60Ǵg એ਄ 200Ǵg એਅߩ▸࿐ౝߦ޽ࠇ߫‫ޔ‬‫⪲ޟ‬㉄ߪ‫ߩ⃿ⴊ⿒ޔ‬ᒻᚑࠍഥߌࠆᩕ㙃⚛ߢߔ‫ޔߪ㉄⪲ޕ‬⢝ఽߩᱜᏱߥ⊒⢒ߦነਈߔࠆᩕ㙃⚛ߢߔ‫ޕ‬‫߁޿ߣޠ‬ᩕ㙃ᯏ⢻⴫␜ࠍߒ‫ޟ‬ᩕ㙃ᯏ⢻㘩ຠ㧔⪲㉄㧕‫⽼ߡߒߣޠ‬ᄁߔࠆߎߣ߇ߢ߈ࠆ‫ޕ‬ᨐ‛߽Ფᣣㆡ㊂ࠍᨐ‛ߪࡆ࠲ࡒࡦ C ߿ࠞ࡝࠙ࡓ‫ޔ‬㘩‛❫⛽ߥߤߩଏ⛎Ḯߢ޽ࠅ‫ޔ‬Ფᣣ‫ޔ‬ㆡ㊂ࠍ៨ขߔࠆߎߣ߇ߔߔ
߼ࠄࠇ‫ޔ‬ᅧᆼೋᦼߢߪ  ᣣ 2 ߟ㧔SV㧕
‫ޔ‬ᅧᆼਛᦼ෸߮ᧃᦼ‫ޔ‬᝼੃ᦼߢߪ 3 ߟ㧔SV㧕ࠍ⋡቟ߣߔࠆ‫ޕ‬

ȝ 31 ȝᢥ₂㧕ෘ↢ഭ௛⋭㧚ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕㧚2㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 5 ᐕ࿖᳃ஜᐽ࡮ᩕ㙃⺞ᩏႎ๔㧚
3㧕ෘ↢⋭㧚2 ਎♿ߦ߅ߌࠆ࿖᳃ஜᐽߠߊࠅㆇേ㧔ஜᐽᣣᧄ 2㧕㧚2000㧚

ȝ 32 ȝ

ߚࠎ߬ߊ⾰ߩଏ⛎Ḯߣߥࠆ‫ޟ‬ਥ⩿‫ߪޠ‬ㆡ㊂ࠍߚࠎ߬ߊ⾰ߪ‫ޔ‬૕ߩ㛽ᩰ‫╭ޔ‬⡺‫ࠍߤߥ⤏⊹ޔ‬᭴ᚑߔࠆߣߣ߽ߦ‫ޔ‬ઍ⻢⺞▵╬ߩߐ߹ߑ߹ߥᯏ⢻ࠍᨐߚߔ‫ޕ‬ᅧᆼᦼߦߪ‫ޔ‬⢝ఽߩ⊒⢒ߦᔅⷐߣߐࠇࠆ૕ߚࠎ߬ߊ⾰ߩ⫾Ⓧ㊂ࠍ⏕଻ߔࠆߚ߼ߦ‫߬ࠎߚޔ‬ߊ⾰ߩઃട㊂߇㧗0㨓ߣߥߞߡ޿ࠆ 㧕‫ޕ‬⡺‫ޔ‬㝼‫ޔ‬ෆ‫ޔ‬ᄢ⼺ߥߤࠍਥ᧚ᢱߣߔࠆ‫ޟ‬ਥ⩿‫ߩ⾰⦟ޔߪޠ‬ߚࠎ߬ߊ⾰ߩଏ⛎Ḯߣߥࠅ‫ޔ‬ᅧᆼೋᦼߢߪ  ᣣ 3㨪5 ߟ㧔SV㧕
‫ޔ‬૕ߚࠎ߬ߊ⾰ߩ⫾Ⓧ㊂߇Ⴧടߔࠆᅧ
ᆼਛᦼ෸߮ᧃᦼߢߪ 4㨪6 ߟ㧔SV㧕
‫ޔ‬᝼੃ᦼߢߪᴲ੃ߦኻߔࠆઃട㊂ࠍട๧ߒ 4㨪6 ߟ㧔SV㧕ࠍ⋡቟ߣߔࠆ‫ޕ‬
⴫ 4 ߚࠎ߬ߊ⾰ߩ㘩੐៨ขၮḰ㧔ផᅑ㊂㧦
ߚࠎ߬ߊ⾰ߩ㘩੐៨ขၮḰ㧔ផᅑ㊂㧦㧔ផᅑ㊂㧦 ᣣᒰߚࠅ㧕
ߚࠎ߬ߊ⾰
ᅚᕈ
ᅧ

8㧙29 ᱦ50g

30㧙49 ᱦ50gᇚೋᦼ㧔6 ㅳᧂḩ㧕
㧗0gਛᦼ㧔6㨪28 ㅳᧂḩ㧕ᧃᦼ㧔28 ㅳએ㒠㧕
᝼੃ᇚ

㧗20g

‫ޡ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޢ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޟࠆߌ߅ߦޢ‬ਥ⩿‫ߩޠ‬ᢱℂ଀‫ߩઁߩߘޣ‬ᢱℂ଀‫ޤ‬ ߟಽ㧦࠙ࠗࡦ࠽࡯ߩ࠰࠹࡯‫࠷ࡌࡖࠠ࡞࡯ࡠޔ‬㧔೽⩿㧕‫ޔ‬⡺ߓ߾߇㧔೽⩿㧕‫ߤߥߒ⫳⏀⨥ޔ‬
2 ߟಽ㧦὾߈ߣࠅ‫ࠩ࡯࡚ࠡޔ‬㧔೽⩿㧕‫ޔ‬ᾚ㝼‫ޔ‬ࠬࠢ࡜ࡦࡉ࡞ࠛ࠶ࠣ‫ޔ‬㤗ᇎ⼺⣣ߥߤ
4 ߟಽ㧦ߔ߈὾߈㧔೽⩿㧕ᵈ㧦㧔 㧕ߪⶄวᢱℂࠍ␜ߒߡ߅ࠅ‫ޔ‬ਥ⩿એᄖߦ฽߹ࠇࠆᢱℂ඙ಽࠍ⸥タߒߡ޿ࠆ‫ޕ‬
ȝ 33 ȝ

⽺ⴊ੍㒐ߥߤߩߚ߼ߦ㘩᧚ߦߪ㈩ᘦߒߡ
૕ౝߩ㋕ߩ⚂ 70㧑߇⿒ⴊ⃿ਛߩࡋࡕࠣࡠࡆࡦߣߒߡⴊᶧਛߦሽ࿷ߒ‫ޔ‬⢖߆ࠄߩ㉄⚛ߩㆇ៝ߦ㊀ⷐߥᓎഀࠍᜂߞߡ޿ࠆ‫ޕ‬㋕߇ਇ⿷ߔࠆߣࡋࡕࠣࡠࡆࡦߩ↢ᚑ߇ᅹߍࠄࠇ‫ޔ‬㋕ᰳਲᕈ⽺ⴊߣߥࠆ‫ޕ‬ᅧᆼᦼߦ߅޿ߡ㋕ᰳਲᕈ⽺ⴊߪᄙߊ‫ޔ‬ᅧᇚஜ⸻ߩ㓙ߩᬌᩏ⚿ᨐߦᔕߓߡᔅⷐߥᴦ≮߇ⴕࠊࠇߡ޿ࠆ‫ޕ‬ㆡᱜߥ⾂⬿㋕ࠍ߽ߟஜᐽߥੱߢߪ‫ޔ‬ਥߦേ‛ᕈߩ㘩ຠߦᄙߊ฽߹ࠇࠆࡋࡓ㋕ߩๆ෼₸ߪ 20㨪30㧑ߢ޽ࠅ 2)‫ޔ‬ᬀ‛ᕈ㘩ຠߦᄙߊ฽߹ࠇࠆ㕖ࡋࡓ㋕ߩๆ෼₸ߦᲧߴ㜞޿ߚ߼‫⿒ޔ‬りߩ⡺߿㝼ߥߤ㋕ࠍ฽߻േ‛ᕈ㘩ຠࠍ਄ᚻߦขࠅ౉ࠇࠆࠃ߁ߦߔࠆ‫ޔߚ߹ޕ‬ᣣᧄੱ߇㘩੐߆ࠄ៨ขߔࠆ㋕ߩ⚂ 85㧑એ਄߇ๆ෼₸ߩዋߥ޿㕖ࡋࡓ㋕ߢ޽ࠅ‫ޔ‬㕖ࡋࡓ㋕ߩๆ෼₸ߪߚࠎ߬ߊ⾰߿ࡆ࠲ࡒࡦ C ߩ៨ข㊂߇Ⴧടߔࠆߣ㜞߹ࠆ 3㧕ߎߣ߆ࠄ‫ޔ‬㘩ຠߩ⚵วߖߦ߽㈩ᘦߔࠆ‫ޕ‬߹ߚ‫ޔ‬ᅧᆼਛߪ‫ޔ‬⢝ఽߩ␹⚻♽ߩེቭᒻᚑߩߚ߼ߦ‫ޔ‬ᔅ㗇⢽⢌㉄㧖8 ߩ߭ߣߟߢ޽ࠆ n-3 ♽⢽⢌㉄㧔EPA߿ DHA ߥߤ㧕ߩࠃࠅᄙ޿៨ข߇ᔅⷐߣߐࠇࠆ 4㧕‫ޕ‬㝼↱᧪ߩ n-3 ♽⢽⢌㉄៨ข߇ዋߥ޿႐วߦߪ‫ޔ‬ᣧ↥߿ૐ૕㊀ఽ಴↥ߩ࡝ࠬࠢ߇㜞޿ߣ޿߁ႎ๔߽ߺࠄࠇࠆ 5㧕ߎߣ߆ࠄ‫ߩߤߥࠅ߱ޔ߫ߐޔߒࠊ޿ޔ‬㕍り㝼߽ขࠅ౉ࠇࠆࠃ߁ߦߔࠆ‫ޕ‬
㧖8ᔅ㗇⢽⢌㉄ߣߪ
⢽⢌㉄ߪ㘩ຠߦ฽߹ࠇࠆ⢽⾰ߩਥߥᚑಽߢ޽ࠅ‫ߩߘޔ‬᭴ㅧߦࠃߞߡ㘻๺⢽⢌㉄‫৻ޔ‬ଔਇ㘻๺⢽⢌㉄‫ޔ‬ᄙଔਇ㘻๺⢽⢌㉄ߦಽߌࠄࠇࠆ‫ߦ․ޕ‬૕ౝߢ૞ࠆߎߣ߇ߢ߈ߥ޿⢽⢌㉄ࠍᔅ㗇⢽⢌㉄ߣ⸒߁‫ޕ‬ᔅ㗇⢽⢌㉄ߦߪ‫ࡁ࡝ޔ‬࡯࡞㉄‫ޔ‬ǩ́࡝ࡁ࡟ࡦ㉄ߥߤߩઁ‫ޔ‬ਥߦ㝼ߦᄙߊ฽߹ࠇࠆ DHA㧔࠼ࠦࠨࡋࠠࠨࠛࡦ㉄㧕߿ EPA㧔ࠛࠗࠦࠨࡍࡦ࠲
ࠛࡦ㉄㧕ߥߤߩ n-3 ♽⢽⢌㉄߇޽ࠆ‫ޕ‬

ȝ 34 ȝ

ᅧᆼೋᦼߦߪࡆ࠲ࡒࡦ㧭ᅧᆼೋᦼߦߪࡆ࠲ࡒࡦ㧭ߩㆊ೾៨ขࠍㆱߌߡ
ߩㆊ೾៨ขࠍㆱߌߡ
ࡆ࠲ࡒࡦ A ߪ਄⊹⚦⢩‫ེޔ‬ቭߩᚑ㐳߿ಽൻߦ㑐ਈߔࠆߚ߼ߦ‫ޔ‬ᅧᇚߦߣߞߡ㊀ⷐߥࡆ࠲ࡒࡦߢ޽ࠆ‫ ࡦࡒ࠲ࡆޔߒ߆ߒޕ‬A ߪㆊ೾៨ขߦࠃࠅవᄤᄸᒻ߇Ⴧടߔࠆߎߣ߇ႎ๔ 6㧕ߐࠇߡ޿ࠆߚ߼ߦ‫ޔ‬਄㒢㊂ߪ ,00Ǵg㧾㧱㧛ᣣߣߐࠇߡ޿ࠆ‫ޔߢߎߘޕ‬ᅧᆼࠍ⸘↹ߔࠆ⠪‫߮ࠃ߅ޔ‬ᅧᆼ 3 ߆᦬એౝߩ⠪ߪ࡟ࡃ࡯ߥߤߩࡆ࠲ࡒࡦ A ฽᦭㊂ߩᄙ޿㘩ຠ‫ ࡦࡒ࠲ࡆޔ‬A ࠍ฽߻ᩕ㙃ᯏ⢻㘩ຠ߿ࠨࡊ࡝ࡔࡦ࠻╬ߩ⛮⛯⊛ߥᄢ㊂៨ขࠍㆱߌࠆߎߣ߇ᄢಾߢ޽ࠆ‫ޕ‬ߥ߅‫ޔ‬Ǫ́ࠞࡠ࠹ࡦߪᬀ‛↱᧪ߩࡊࡠࡆ࠲ࡒࡦ A ߢ޽ࠅ‫ ࡦࡒ࠲ࡆޔ‬A ߇ਇ⿷ߒߚ႐ว‫ޔ‬૕ౝߢࡆ࠲ࡒࡦ A ߦᄌ឵ߐࠇࠆ‫⃻ޕ‬࿷‫ޔ‬Ǫ́ࠞࡠ࠹ࡦߩㆊ೾៨ขߦࠃࠆ㓚ኂߪ⍮ࠄࠇߡ޿ߥ޿ߩߢ 㧕‫ޔ‬਄㒢୯ࠍ⠨ᘦߒߚࡆ࠲ࡒࡦ A ៨ข㊂ߩ▚಴ߦߪࠞࡠ࠹ࡦߪ฽߹ࠇߡ޿ߥ޿‫ޕ‬㝼੺㘃ߪ‫ޔ‬㘩ߴࠆ⒳㘃
㝼੺㘃ߪ‫ޔ‬㘩ߴࠆ⒳㘃ߣ㊂⒳㘃ߣ㊂ࠍ⏕⹺ߒߥ߇ࠄࡃ࡜ࡦࠬ⦟ߊ
ߣ㊂ࠍ⏕⹺ߒߥ߇ࠄࡃ࡜ࡦࠬ⦟ߊ
ᐔᚑ 7 ᐕ  ᦬ 2 ᣣ‫⮎ޔ‬੐࡮㘩ຠⴡ↢ክ⼏ળ㘩ຠⴡ↢ಽ⑼ળ ੃⡺᳓↥㘩ຠㇱળࠃࠅ‫ޟ‬ᅧᇚ߳ߩ㝼੺㘃ߩ៨㘩ߣ᳓㌁ߦ㑐ߔࠆᵈᗧ੐㗄‫߇ޠ‬಴ߐࠇߡ޿ࠆ‫ޕ‬ᱜ⏕ߥℂ⸃ߩߚ߼ߦ‫ޔ‬ෳ⠨⾗ᢱ 4 ෸߮ᧄᵈᗧ੐㗄ߦ㑐ߔࠆ㧽㧒㧭ߦߟ޿ߡෳᾖߔࠆ‫ޕ‬‫ޣ‬ᵈᗧ੐㗄ߩ⹦⚦෸߮㧽㧒㧭‫ޤ‬ᢥ₂㧕ෘ↢ഭ௛⋭㧚ᣣᧄੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ 㧕㧚
2㧕Bothwell TH, Baynes RD, MacFarlane BJ, MacPhail AP.

Nutritional iron requirements and foodiron absorption.J Intern Med. 989;226:357-365.
3㧕Hulten L, Gramatkovski E, Gleerup A, Hallberg L. Iron absorption from the whole diet. Relation
to meal composition, iron requirements and iron stores.Eur J Clin Nutr. 995; 49:794-808.
4㧕Innis SM. Essential fatty acids in growth and development. Prog Lipid Res 99;30:39-035) Olsen SF. Secher NJ. Low consumption of seafood in early pregnancy as a risk factor for preterndelivery:prospective cohort study. BMJ 2002;324:447-450.
6㧕Rothman KJ, Moore LL, Singer MR, et al. Teratogenicity of high vitamin A intake. N Engl J
Med 995; 333:369-373.

ȝ 35 ȝ

gpqrpqr¯¯1°±²9:gpqr
1°±²9:ᅧᆼᦼߦߪ‫ߩ࡞ޔ‬ef3߇਄gߔࠆߎߣ߆ࠄ‫ޔ‬ᅧᆼ∝㧔ᅧᆼ∝㧕ߥߤߦࠃࠅ⢝h¾ૐਅ߇޽ࠆวࠍB߈‫ߩ࡞ޔ‬ട㊂ߪᔅⷐߥ޿ߣߐࠇߡ޿ࠆ '㧕‫ޔߚ߹ޕ‬᝼੃ᦼߦ߅޿ߡ߽‫ߦ⊛৻ޔ‬㛽㊂ߩᷫw߇ߺࠄࠇࠆ߇‫ޔ‬᝼੃iੌᓟߩ; 6 ߆᦬[ߢ ᅧᆼ೨ߩ⁁&ߦjࠆߎߣ߆ࠄ‫ޔ‬ട㊂ߪᔅⷐߥ޿ߣߐࠇߡ޿ࠆ '㧕‫ޕ‬ߒ߆ߒ‫ߪࠄࠇߎޔ‬ᐕD㓏⚖#ߦ␜ߐࠇߚ⋡቟㊂ߩ࡞ࠍ៨ขߒߡ޿ࠆวߢ޽ࠆ‫⃻ޕ‬k‫ޔ‬ᣣੱߩᐔ⊛ߥ࡞៨ข㊂ߪwߥߊ‫ޔ‬20 4ઍᅚᕈߢ 457mg‫ޔ‬30 4ઍᅚᕈߢ 465mg2㧕ߣ‫ޔ‬࡞ߩ㘩੐៨ขၮḰߣߒߡ␜ߐࠇࠆ⋡቟㊂㧔20 4ઍᅚᕈ 700mg‫ޔ‬30 4ઍᅚᕈ 600mg㧕ࠍਅ࿁ߞߡ޿ࠆ㧔࿑ 7㧕‫ޕ‬ᅧᆼᦼ2᝼੃ᦼߦ ࠊࠄ‫ޔ‬ᣣl߆ࠄq⼂⊛ߦ࡞ߩ៨ขߦm߼ࠆᔅⷐ߇޽ࠆ‫ޕ‬

࿑ 7 ࡞៨ข㊂㧔ᅚᕈ,࡞៨ข㊂㧔ᅚᕈ,ᐕDwx#㧕³´µ¶h¶·¸¹ º»¸¼½¾¿`H࡞ߪ‫ޟޔ‬á੃2੃Üຠ‫ޟޠ‬ᄢÕ2ᄢÕÜຠ‫ޟޠ‬

㊁Ò‫ޟޠ‬nÔ#‫×ޟޠ‬Ø‫ޔ‬oâ‫ߤߥޠ‬ߦᄙߊ ߹ࠇࠆ‫ޔ߽ߢߩߘޕ‬á੃2੃Üຠߪ‫⦟ޔ‬pߚÏqߊpߣࠛࡀ࡞ࠡ࡯ߩ9ߦ߽r⊛ߢ޽ࠆߎߣ߆ࠄ‫ޔ‬ᅧᆼsᦼ෸߮ᦼߦߪ‫ޔ‬ᅧᆼߣtߓ㧝ᣣ2ߟ㧔SV㧕‫ޔ‬ᅧᆼuᦼ෸߮᝼੃ᦼߦߪ'ߟടߐࠇߚ'ᣣ3ߟ㧔SV㧕ࠍ⋡቟ߣߒߡ៨ขߔࠆ‫ޕ‬߹ߚ‫ޔ‬á੃2੃Üຠ¤ᄖߦ߽‫ࠍ࡞ޔ‬ᄙߊ ߻㘩ຠࠍ਄vߦ⚵ߺวࠊߖߡ‫ޔ‬ᔅⷐߣߐࠇࠆ㊂ߩ࡞߇៨ขߢ߈ࠆࠃ߁ߥ㘩⠌ᘠࠍ⏕cߔࠆ‫ޕ‬

ȝ 36 ȝ

 @ xstuvzd{xstuvzd{?µ¶h¶·¸E ¸ÀÁÂ123FGHÃÄÀÁÂ123FGHÃÄ CÅ ÆÆÇÈÉÊá੃ߪੱߦࠃߞߡߪ㘩ây࡞!ߣߥࠆว߇޽ࠆ‫⎇ޕ‬ⓥႎ๔ߢߪ‫ޔ‬ᅧᆼᦼߦ\ⷫ߇㘩ây࡞!㧔á੃ࠍ ߻‫ޔ‬¤ਅtߓ㧕Bzࠍⴕߞߡ߽‫ޔ‬ሶߤ߽ߩy࡞ࠡ࡯{ߩ⊒∝3߿|3ቇ⊛ï࡯࡯ߦߪªq}߇ߥ߆ߞߚߣߔࠆႎ๔߽޽ࠆ 3)4)‫ޔߚ߹ޕ‬᝼੃ᦼߦ\ⷫߣሶߤ߽߇á੃ߩBzࠍⴕ߁ߣ‫~ޔ‬

࡝ࠬࠢఽߩy࡞ࠡ࡯{⊒∝3ࠍ੃ఽᦼ‫ߦᦼᦼఽޔ‬ૐਅߐߖࠆߎߣ߇ߢ߈ࠆ߇‫ޔ‬ᦼ⊛ߦߪªq}߇ߥߊߥࠆߣ޿߁ႎ๔߽ᄙ޿ 5)7)‫ޕ‬ᅧᆼᦼ‫ޔ‬᝼੃ᦼߣ߽ߦ㘩ây࡞!ࠍBzߒߚวߦߪ‫ޔ‬y࡞ࠡ࡯ߩF߇޽ࠆఽߩy࡞ࠡ࡯⊒∝ ߦr߇޽ࠆߣߔࠆႎ๔߽޽ࠆ
8㧕-'2㧕

‫ޕ‬ᅧ↥ᇚG‫ޔ‬F‫ޔ‬ሶߤ߽ߩ߇y࡞ࠡ࡯૕pߥߤߩวߦߪ‫ޔ‬Íකߩᜰ␜ߦᓥ޿‫ޔ‬
୘#ߦኻᔕࠍ࿑ࠆ‫ޕ‬

ȝ 37 ȝ

V'㧕)↢*+,ᣣੱߩ㘩੐៨ขၮḰ㧔2005 ᐕ㧕
2㧕)↢*+,ᐔᚑ '5 ᐕ࿖1ஜᐽ2ᩕ㙃⺞ᩏႎ๔3) Miskelly FG.et.al. Infant feeding and allergy. Arch Dis Child '988;63:388-393.
4) Lilja G. et al Effects of maternal diet during late pregnancy and lactation on the developmentof atopic disease in infants up to '8 months of on the development. Clin Exp Allergy'989;'9:473-479.
5)Hide DW. et al.Allergen avoidance in infancy and allergy at 4 years of age.Allergy.
'996;5':89-93.
6)Chandra RK, Singh G, Shridhara B.Influence of maternal diet during lactation and use of formula
feeds on development of atopic eczema in high risk infants.BMJ. '989; 299:228-230.
7㧕Hattevig G. et al. Effects of maternal dietary avoidance during lactation on allergy inchildren at '0 years of age. Acta Paediatr. '999;88:7-'2.
8) Chandra RK. et al. Influence of maternal food antigen avoidance during pregnancy and lactation
on incidence of atopic eczema in infants. Clin Allergy '986;'6:563-569.
9) Miskelly FG.et al. Infant feeding and allergy. Arch Dis Child63 '988;388-393.
'0㧕Lilja G,

et al. Effects of maternal diet during late pregnancy and lactation on thedevelopment of atopic disease in infants up to '8 months of on the development. Clin Exp
Allergy '989;'9:473-479.
''㧕FathMagnusson K. et al. Allergy prevention by maternal elimination diet during latepregnancy. J Allergy Clin Immunol. '992;98:'03-''7.
'2㧕Zeiger RS, Heller S. The development and prediction of atopy in high-risk children: follow-up
at age seven years in a prospective randomized study of combined maternal and infant foodallergen avoidance. J Allergy Clin Immunol. '995;95:''79-''90.

ȝ 38 ȝ

ᅧᆼ೨ߩ૕ဳࠍ⠨ᘦߒߚᦸ߹ߒ޿૕㊀Ⴧട㊂㧔ᅧᆼ೨ߩ૕ဳࠍ⠨ᘦߒߚᦸ߹ߒ޿૕㊀Ⴧട㊂㧔⥋ㆡ૕㊀Ⴧട㊂ࠍ⠨ᘦߒߚᦸ߹ߒ޿૕㊀Ⴧട㊂㧔⥋ㆡ૕㊀Ⴧട㊂㧕ߦ⥋ㆡ૕㊀Ⴧട㊂㧕ߦ㕖ᅧᆼᤨߩ૕ᩰ߿ᅧᆼਛߩ૕㊀Ⴧട㊂ߦࠃߞߡ‫ޔ‬಴↢ఽߩ૕㊀෸߮ᅧᆼ㜞ⴊ࿶∝୥⟲㧔ᅧᆼਛᲥ∝㧕‫ޔ‬Ꮲ₺ಾ㐿‫ޔ‬ಽᇂᤨ಴ⴊ╬ߩ⁁ᴫߦ⋧㆑߇ߺࠄࠇࠆ‫ޕ‬㕖ᅧᆼᤨߦ‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ߦޠ‬ዻߔࠆ⠪ߪ‫ޔ‬ૐ಴↢૕㊀ఽಽᇂ 㧕2㧕߿ሶችౝ⢝ఽ⊒⢒ㆃᑧ㧔IUGR㧕‫ޔ‬ಾㄼᣧ↥߿ᣧ↥ 㧕2㧕4㧕‫ ⴊ⽺ޔ‬㧕ߩ࡝ࠬࠢ߇㜞߹ࠅ‫ޔ‬‫ޟ‬⢈ḩ‫ߦޠ‬ዻߔࠆ⠪ߪ‫♧ޔ‬ዩ∛ 5㧕6㧕7㧕߿Ꮒ

2㧕3㧕

ᄢఽಽᇂ 7㧕‫ޔ‬Ꮲ₺ಾ㐿ಽᇂ 5㧕6㧕8㧕‫ޔ‬ᅧᆼ㜞ⴊ࿶∝୥⟲㧔ᅧᆼਛᲥ∝㧕5㧕㧙0㧕ߩ࡝ࠬࠢ߇㜞߹ࠆ‫ޕ‬߹ߚ‫ޔ‬ᅧᆼᦼߦ૕㊀Ⴧട㊂߇⪺ߒߊዋߥ޿႐วߦߪ‫ޔ‬ૐ಴↢૕㊀ఽಽᇂ 㧕㧙3㧕߿ಾㄼᵹ↥ 0㧕‫ޔ‬ಾㄼᣧ↥ 0㧕ߩ࡝ࠬࠢ߇㜞߹ࠅ‫ޔ‬૕㊀Ⴧട㊂߇⪺ߒߊᄙ޿႐วߦߪ‫ޔ‬೨ᦼ⎕᳓ 4㧕߿ᅧᆼ㜞ⴊ࿶∝୥⟲㧔ᅧᆼਛᲥ∝㧕0㧕4㧕‫ޔ‬Ꮒᄢఽಽᇂ 6㧕5㧕‫ޔ‬Ꮲ₺ಾ㐿ಽᇂ 8㧕5㧕6㧕‫ޔ‬ಽᇂᤨߩ಴ⴊ㊂ㆊᄙ 7㧕‫⟠ޔ‬᳓ᷙỘ࡮⢝ఽᔃᜉᢙ⇣Ᏹ 5㧕ߩ࡝ࠬࠢ߇㜞߹ࠆ‫ޕ‬
਄⸥ߩฦ⒳⺞ᩏ⎇ⓥ 㧕㧙2㧕ߩಽᨆ࡮ᬌ⸛ࠍ〯߹߃ࠆߣ‫ޔ‬ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ૕㊀Ⴧട㊂ߪ‫ޔ‬૕ᩰ඙ಽ߇‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ߩޠ‬႐วߪ 9㨪2kg‫ޔ‬‫ߩޠ߁ߟ߰ޟ‬႐วߪ 7㨪2kg‫ޔ‬‫ޟ‬⢈ḩ‫ߩޠ‬႐ว‫ޔ‬୘೎ߦኻᔕߒߡ޿ߊ㧔⴫ 5㧕‫ޔߚ߹ޕ‬૕㊀ߩᄌൻߦߟ޿ߡ߽‫ޔ‬ฦ⒳⺞ᩏ⎇ⓥ 2㧕20㧕23㧙3㧕ߩಽᨆ࡮ᬌ⸛ࠍ
〯߹߃‫ޔ‬ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅޿ߡߪ  ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂ࠍ⋡቟ߣߒ‫ⷰߦ⊛ᤨ⚻ޔ‬ኤ‫ޔ‬⹏ଔߒߡ޿ߊ㧔⴫ 6㧕‫ޕ‬ߥ߅‫ޔ‬ᅧᆼೋᦼߦߟ޿ߡߪ૕㊀Ⴧടߦ㑐ߔࠆ೑↪น⢻ߥ࠺࡯࠲߇ਲߒ޿ߎߣߥߤ߆ࠄ‫ ޔ‬ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂ߩ⋡቟ࠍ␜ߒߡ޿ߥ޿ߚ߼‫⥃ߩߤߥࠅࠊߟޔ‬ᐥ⊛ߥ⁁ᴫࠍ〯߹߃‫ޔ‬୘೎ߦኻᔕߒߡ޿ߊߎߣ߇ᦸ߹ߒ޿‫ޔߚ߹ޕ‬૕㊀Ⴧടߪ୘ੱᏅ߇ᄢ߈޿ߩߢ‫ޔ‬㘩੐㊂߿り૕ᵴേߩ㊂ߦ߽㈩ᘦߒߥ߇ࠄ‫⋡ߥ⊛৻↹ޔ‬ᮡࠍ⋡ᜰߔߎߣߩߥ޿ࠃ߁ߦ⇐ᗧߔࠆ‫ޕ‬
⴫ 5 ૕ᩰ඙ಽ೎ ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ
ᅧᆼోᦼ㑆ࠍㅢߒߡߩផᅑ૕㊀Ⴧട㊂
ផᅑ૕㊀Ⴧട㊂૕ᩰ඙ಽផᅑ૕㊀Ⴧട㊂ૐ૕㊀㧔߿ߖ㧕㧦㧮㧹㧵8.5ᧂḩ

9㨪2kg߰߁㧦㧮㧹㧵8.5એ਄25.0ᧂḩ

7㨪2kg۲ḩ㧦㧮㧹㧵25.0એ਄୘೎ኻᔕ۲2⢈ߟ࡮૕ᩰ඙ಽߪ㕖ᅧᆼᤨߩ૕ᩰߦࠃࠆ‫ޕ‬
࡮BMI㧔Body Mass Index㧕㧦૕㊀(kg)/り㐳(m)2۲૕ᩰ඙ಽ߇‫ߩޠ߁ߟ߰ޟ‬႐ว‫ޔ‬BMI ߇‫ޟ‬ૐ૕㊀㧔߿ߖ㧕‫ߦޠ‬ㄭ޿႐วߦߪផᅑ૕㊀Ⴧട
㊂ߩ਄㒢஥ߦㄭ޿▸࿐ࠍ‫ޔ‬‫ޟ‬⢈ḩ‫ߦޠ‬ㄭ޿႐วߦߪផᅑ૕㊀Ⴧട㊂ߩਅ㒢஥ߦૐ޿▸࿐ࠍផᅑߔࠆߎߣ߇ᦸ߹ߒ޿‫ޕ‬

۲2

BMI ߇ 25.0 ࠍ߿߿⿥߃ࠆ⒟ᐲߩ႐วߪ‫ ߘࠃ߅߅ޔ‬5kg ࠍ⋡቟ߣߒ‫ࠆ߃⿥ߊߒ⪺ޔ‬႐วߦߪ‫ࠍ╬ࠢࠬ࡝ߩઁޔ‬⠨ᘦߒߥ߇ࠄ‫⥃ޔ‬ᐥ⊛ߥ⁁ᴫࠍ〯߹߃‫ޔ‬୘೎ߦኻᔕߒߡ޿ߊ‫ޕ‬ȝ 39 ȝ

⴫ 6 ૕ᩰ඙ಽ೎ ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆ᅧᆼਛᦼ߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆޽߆ࠄᧃᦼߦ߅ߌࠆ㧝ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂ߚࠅߩផᅑ૕㊀Ⴧട㊂૕ᩰ඙ಽㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂

ૐ૕㊀㧔߿ߖ㧕㧦㧮㧹㧵8.5ᧂḩ

0.3㨪
0.3㨪0.5kg
0.5kg/
kg/ㅳ

߰

0.3㨪
0.3㨪0.5kg
0.5kg/kg/ㅳߟ⢈߁㧦㧮㧹㧵8.5એ਄25.0ᧂḩḩ㧦㧮㧹㧵25.0એ਄୘೎ኻᔕ࡮૕ᩰ඙ಽߪ㕖ᅧᆼᤨߩ૕ᩰߦࠃࠆ‫ޕ‬
࡮BMI㧔Body Mass Index㧕㧦૕㊀(kg)/り㐳(m)2࡮ᅧᆼೋᦼߦߟ޿ߡߪ૕㊀Ⴧടߦ㑐ߔࠆ೑↪น⢻ߥ࠺࡯࠲߇ਲߒ޿ߎߣߥߤ߆ࠄ‫ޔ‬ㅳ㑆޽ߚࠅߩផᅑ૕㊀Ⴧട㊂ߩ⋡቟ࠍ␜ߒߡ޿ߥ޿ߚ߼‫⥃ߩߤߥࠅࠊߟޔ‬ᐥ⊛ߥ⁁ᴫࠍ〯߹߃‫ޔ‬୘೎ߦኻᔕߒߡ޿ߊ‫ޕ‬ᅧᆼਛߩ૕㊀Ⴧട㊂ߪᲣ੃ߩ⢽⢌Ớᐲߦ߽ᓇ㗀Უ੃ߩ⢽⢌Ớᐲߪᅧᆼਛߩᦨᄢ BMI ߣᒝ޿ᱜߩ⋧㑐߇ߺࠄࠇࠆ‫ޕ‬ᅧᆼਛߩᦨᄢ BMI ߪᅧ
ᆼ೨ߩ૕㊀ߣᅧᆼਛߩ૕㊀Ⴧട㊂ߦࠃࠅ᳿ቯߔࠆߎߣ߆ࠄ‫ޔ‬᝼੃ᦼએ೨ߩ⫾Ⓧ⢽⢌߇Უ੃ߩ⢽⢌Ḯߣߒߡఝవߔࠆߎߣ߇␜ໂߐࠇߡ޿ࠆ 32㧕‫ޕ‬Უ੃ߩ⢽⢌ߪ੃ఽߩࠛࡀ࡞ࠡ࡯߿ᔅ㗇⢽⢌㉄㧔23 㗁ෳᾖ㧕ߩଏ⛎Ḯߣߒߡ㊀ⷐߢ޽ࠆߎߣ߆ࠄ‫ޔ‬ᅧᆼਛߩ૕㊀Ⴧടߦኻߔࠆᭂ┵ߥ೙㒢ߪᅢ߹ߒߊߥ޿‫ޕ‬

ᢥ₂
㧕Sebire NJ, Jolly M, Harris J, Regan L, Robinson S. Is maternal underweight really a risk
factor for adverse pregnancy outcome? A population-based study in London. BJOG
200;08:6-66.
2㧕Ehrenberg HM, Dierker L, Milluzzi C, Mercer BM. Low maternal weight, failure to thrive inpregnancy, and adverse pregnancy outcomes. Am J Obstet Gynecol 2003;89:726-730.
3㧕Spinillo A, Capuzzo E, Piazzi G, Nicola S, Colonna L, Iasci A. Maternal high-riskfactors and severity of growth deficit in small for gestational age infants. Early Hum Dev
994;38:35-43.
4㧕Schieve LA, Cogswell ME, Scanlon KS, Perry G, Ferre C, Blackmore-Prince C, Yu SM, Rosenberg
D. Prepregnancy body mass index and pregnancy weight gain: associations with preterm
delivery. The NMIHS Collaborative Study Group. Obstet Gynecol 2000;96:94-200.
5㧕 Murakami M, et al. Prepregnancy body mass index as an important predictor of perinatal
outcomes in Japanese. Archives of Gynecology and Obstetrics 2005; 27:3-35.
6㧕Edwards LE, Hellerstedt WL, Alton IR, Story M, Himes JH. Pregnancy complications and birthoutcomes in obese and normal-weight women: effects of gestational weight change. Obstet
Gynecol 996;87:389-394.
7㧕Baeten JM, Bukusi EA, Lambe M. Pregnancy complications and outcomes among overweight andobese nulliparous women. Am J Public Health 200;9:436-440.

ȝ 3: ȝ

8㧕Young TK, Woodmansee B. Factors that are associated with cesarean delivery in a large private
practice: the importance of prepregnancy body mass index and weight gain. Am J Obstet Gynecol
2002;'87:3'2-3'8.
9㧕ᚑ, 7⢈ḩᅧᇚߦ߅ߌࠆᅧᆼߩ૕㊀Ⴧട㊂ߣ↥⑼ว∝ߦߟ޿ߡ. \ᕈ↢'985;26:53-55.
'0㧕, ᅧᆼว∝ߩOሶ-⢈ḩߣᅧᆼว∝↥⑼ߣᇚੱ⑼ '998;6: 793-799.
''㧕Rondo PH, Abbott R, Rodrigues LC, Tomkins AM. The influence of maternal nutritional facterson intrauterine growth retardation in Brazil. Paediatr Perinat Epidemiol '997;'':'52-'66.
'2)Wong W, Tang NL, Lau TK, Wong TW. A new recommendation for maternal weight gain in Chinese
women. J Am Diet Assoc 2000;'00:79'-796.
'3)਄ᐽ, , ¡\૕૕㊀▤Ìߩ¢ ࠬ£ࠢ¤ߥᜰߣߒߡߩᅧᆼ '6 ¥૕㊀Ⴧ

ട㊂ߩqߦ ߔࠆᬌ⸛ ᣣ↥ᇚ¦‫ޓ‬200';53㧦980-988.
'4)§, ¨©ªሶᅧᇚߩ૕㊀ჇടߣߘߩᅧᆼJಽJ⢝ఽ⊒x߳ߩᓇ㗀ߦߟ޿ߡ↥ᇚੱ⑼≮'975;3':646-655.
'5)Johnson JW, Longmate JA, Frentzen B. Excessive maternal weight and pregnancy outcome. Am
J Obstet Gynecol '992;'67:353-70; discussion 370-372.
'6)«¬ઍ, ­®ߖߟሶ, ë ¯°ࠛ,7ಽÉ±ࠍ²³ߔࠆ⻉Oሶߩᬌ⸛(´ ' ႎ) ᅧ↥ᇚߩ૕㊀߇ಽߦ෸ ߔᓇ㗀ߦߟ޿ߡ↥⑼ߣᇚੱ⑼ '987;54:'85'-'855.
'7)µ,, 7⢈ḩᅧᇚߩᩕ㙃▤Ìߦ ߔࠆၮ¶⊛,·¸⊛⎇ⓥᣣ↥ᇚ¦ '992;44:229-236.
'8)ᚑᅧᆼ૕㊀Ⴧട㊂ߦᓇ㗀ࠍ෸ ߔⷐO¹߮ߦno૕㊀Ⴧടᅧᇚߩ▤Ìߦ ߔࠆ⎇ⓥºකᄢ¦ '984;42:355-368.
'9).ᱜ»‫ޟ‬ᅧᆼ∝ߩᩕ㙃▤Ìᜰ㊎<ฦ⒳¼½¨©ળî࡯¾࡯>‫ޠ‬,ᣣ↥ᇚ'999;5':N507-508.
20)¿Àᅧᆼߩ\૕૕㊀Ⴧട㊂ߣᅧᆼòÁߣߩ Áᐔᚑ'6ᐕ)↢*+⑼ቇ⎇ⓥÂ9:Ã㧔ሶߤ߽FG,ว⎇ⓥ੐Ä*ÍÅ⎇ⓥ⠪ ÆÇÈ㧕‫޿⧯ޟ‬ᅚᕈߩ㘩↢ᵴߪߎߩ߹߹ߢ⦟޿ߩ߆É<Êઍߩஜᐽࠍ⠨ߦ౉ࠇߚᩕ㙃ቇ2 කቇ⊛ᬌ⸛‫ޠ‬ႎ๔Ë ಽÌ⎇ⓥႎ๔Ë.
2')Hytten FE. Weight gain in pregnancy. InDClinical Physiology in ObstetricsE. Blackwell
Science, Oxford '990.
22)Í਄ÎᅧᆼJಽJ↥Ï⚻nߩ\૕૕㊀ߩᄌ¬ߣߘߩ·¸↥ᇚੱ⑼≮ '976;33:88-9'.
23)Ð©¨Ñሶ, 7ᅧᆼ\૕૕㊀Ⴧട㊂ߦ ߔࠆᬌ⸛\ᕈ↢ '977;'7:85-89.
24)Institute of Medicine. Subcommittee on Nutritional Status and Weight Gain in
Pregnancy. Nutrition during pregnancy: part Ò, weight gain. National Academy Press,
Washington D.C. '990.
25)Abrams B, Carmichael S, Selvin S. Factors associated with the pattern of maternal

weightgain during pregnancy. Obstet Gynecol '995;86:'70-'76.
26)Abrams B, Selvin S. Maternal weight gain pattern and birth weight. Obstet Gynecol'995;86:'63-'69.
27)Strauss RS and Dietz WH. Low maternal weight gain in the second or third trimester increases
the risk for intrauterine growth retardation. J Nutr '999;'29:988-993.

ȝ 41 ȝ28)Muscati SK, Gray-Donald K, Koski KG. Timing of weight gain during pregnancy: promoting fetal
growth and minimizing maternal weight retention. Int J Obes Relat Metab Disord
996;20:526-532.
29)Hickey CA, Cliver SP, Goldenberg RL, Kohatsu J, Hoffman HJ. Prenatal weight gain, term birthweight, and fetal growth retardation among high-risk multiparous black and white women.
Obstet Gynecol 993;8:529-535.
30)Thame M, Osmond C, Bennett F, Wilks R, Forrester T. Fetal growth is directly related tomaternal anthropometry and placental volume. Eur J Clin Nutr 2004;58:894-900.

ȝ 42 ȝ

Უ੃⢒ఽߩᗧ⟵\੃ߪ੃ఽߦߣߞߡߪ⦟ߩ߽ߩߢ޽ࠆ‫੃\ޕ‬xఽߩÓࠇߚ^ߣߒߡߪ‫ޔ‬Ô|3ቇ⊛ÕÖ ×_↪߇޽ࠆ‫ޔ‬Øᚑಽ⚵ᚑ߇੃ఽߦㆡߢ޽ࠅ‫ޔ‬ઍ⻢ÙÌ߇wߥ޿‫ޔ‬Úy࡞ࠡ࡯ࠍ⿠ߎߒߦߊ޿‫ޔ‬Û಴↥ᓟߩ\૕ߩ࿁Çࠍ߼ࠆ‫ޔ‬Ü\ሶÝ Áߩ⦟øߥiᚑߦÞcߟ‫ޔ‬ß↢⊛‫⚻ޔ‬à⊛ߢv[߽߆߆ࠄߥ޿ߥߤ߇޽ࠅ‫ޔ‬ᩕ㙃‫|ޔ‬3‫ ߦ߮ࠄߥޔ‬Ìߦ߅޿ߡ߽‫ߩߘޔ‬qߪᄢ߈޿‫ޕ‬಴↥ᓟߪ\੃߇චಽߦಽáߐࠇࠆࠃ߁ߦᅧᆼ߆ࠄㆡಾߥ੃â▤Ìࠍ ߇ߌ‫੃\ޔ‬xఽ߳ߩqãࠍ߼ࠆ‫ޕ‬᝼੃ᦼߩ㘩੐
᝼੃ᦼߩ㘩੐
಴↥ᓟ‫ޔ‬᝼੃ᇚߪ\੃ಽáߦࠃࠅ‫ޔ‬äÂࠛࡀ࡞ࠡ࡯ࠍჇᄢߐߖࠆߎߣߪᷫ㊂ߦÞcߟ‫ޕ‬᝼੃ᇚߪߥåࠅ\੃ᩕ㙃ࠍ{|ߒ‫↥ޔ‬ᓟ 6 ߆᦬ࠍ⋡቟ߦḰ૕㊀æ (m)è (m)è22é
㧔kg㧕ߦㄭߠ
ߌࠆࠃ߁ߦ‫࡯ࠡ࡞ࡀࠛޔ‬ട㊂ࠍ⺞▵ߔࠆᔅⷐ߇޽ࠆ‫ޕ‬ಽߦࠃࠆ૕ߩäêࠍ9޿‫੃\ޔ‬ಽáࠍ{|ߢ߈ࠆ⁁&ࠍ଻ߟߚ߼ߦ‫ޔ‬૕㊀ߩᄌൻࠍ⏕⹺ߒߥ߇ࠄ‫ޔ‬㘩੐㊂ࠍ⷗Yߒߡ޿ߊߎߣ߇ၮߣߥࠆ‫ޕ‬߹ߚ‫ޔ‬ᅧᆼߦߪ૕º»ࠍᄙߊëߒ‫ޔ‬᝼੃ᦼߦߪ㘩੐߆ࠄߩº»៨ข㊂߇wߥ޿ᅚᕈߩᣇ߇‫ޔ‬\੃߳ߩࠛࡀ࡞ࠡ࡯=ⴕ㊂߇ᄙ޿ߎߣ߇~ࠄ߆ߦߐࠇߡ޿ࠆ '㧕‫ޔߪࠇߎޕ‬᝼੃ᇚߪ૕㊀ࠍᷫwߐߖߡᅧᆼ೨ߩ૕㊀ߦjߔߎߣ߇ߢ߈ࠆߚ߼ߦว⋡⊛ߢ޽ࠆ‫ߩ੃\ޔߒ߆ߒޕ‬ᔅìº»㉄ߪ‫ޔ‬㘩੐íî߆ࠄߩߺߢ޽ࠅ‫ߩ੃\ޔ‬º»㉄⚵ᚑߪ㘩੐º»ߩº»㉄⚵ᚑࠍïðߔࠆߎߣ߆ࠄ‫ޔ‬dñߥº»³åߪ߆߃ߞߡø߹ߒߊߥ޿‫ޔߢߎߘޕ‬᝼੃ᦼߦߪº»ߩno៨ขࠍòߌࠆ߇‫ߩ੃\ޔ‬ᔅìº»㉄ࠍóôߔࠆߚ߼ߦÔíîߩ n-3 Äº»㉄㧔EPA ߿ DHA ߥߤ,23 õෳ㧕ߩ៨ข߇ផᅑߐࠇࠆ‫ޕ‬ߥ߅‫߇੃\ޔ‬චಽߦಽáߐࠇࠆߚ߼ߦߪ‫࡯ࠡ࡞ࡀࠛޔ‬㊂ߣߣ߽ߦ‫ߚޔ‬Ïqߊp‫ޔ࡞ޔ‬ߥߤߩᔅⷐ㊂߇⏕଻ߐࠇߚ㘩੐ߦߥࠆࠃ߁‫ޔ‬ਅåߦ␜ߒߚËÌߩ⒳#ߣ㊂ࠍ⋡቟ߣߒ‫ޔ‬㘩੐ߩࠬߦߔࠆ‫ޕ‬

਎!඿!‫ܢ‬

ȼˍ

ȼˍ

ȼˍ

ȼˍ
ȼˍ

࿑ 8 ‫ޟ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ޠ‬ᅧ↥ᇚߩߚ߼ߩ㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼‫ࠆߌ߅ߦޠ‬᝼੃ᦼߩઃട㊂ߦߟ޿ߡȝ 43 ȝᢥ₂㧕☨ጊ੩ሶ‫ޔ‬ᳰ↰㗅ሶ㧚ᅧᆼਛ߅ࠃ߮᝼੃ਛߩᩕ㙃⁁ᴫ߇Უ੃ᚑಽ߳෸߷ߔᓇ㗀‫ޔ‬ዊఽ଻ஜ⎇ⓥ‫ޔ‬62 ‫ޔ‬2003‫ޔ‬33-340.
2㧕Harzer G, Dieterich I, Haug M. Effects of the diet on the composition of human milk. Ann
Nutr Metab 984; 28: 23-239.

ȝ 44 ȝ

ᅧᆼᦼᅧᆼᦼ࡮᝼੃ᦼߪ⑌ᾍߒ‫ޔ‬ฃേ༛ᾍ㒐ᱛߩߚ߼ߦ๟࿐߽දജࠍ
࡮᝼੃ᦼߪ⑌ᾍߒ‫ޔ‬ฃേ༛ᾍ㒐ᱛߩߚ߼ߦ๟࿐߽දജࠍ
ᅧᆼᦼߩ༛ᾍߩᓇ㗀ߚêߎߩöߦߪªኂâp߇yᄙߊ ߹ࠇߡ޿ࠆ‫ޕ‬Íߥªኂâpߣߒߡ⍮ࠄࠇߡ޿ࠆ߽ߩߦߪ‫÷ޔ‬î‫㉄৻ޔ‬ൻø⚛߇޽ࠆ‫÷ޕ‬îߪ▤ࠍfùߐߖߡ‫ޔ‬ሶú⢝hûüý㊂ࠍᷫwߐߖࠆ‫߹ޕ‬ߚ‫㉄৻ޔ‬ൻø⚛ߪýߩ㉄⚛óþࠍૐਅߐߖ‫⚵ޔ‬V߳ߩ㉄⚛ߩ಴ࠍኂߔࠆߚ߼ߦ‫ޔ‬⢝ఽߪૐ㉄⚛⁁&ߣߥࠆ‫ߩࠄࠇߎޕ‬ᓇ㗀ߢ‫ޔ‬⢝ఽߪ૕㊀Ⴧട߇zࠄࠇࠆ‫ߦ৻ޕ‬ö⠪ߩᅧᇚߪö⠪ߩᅧᇚߦߴ‫ޔ‬ሶߤ߽ߩ಴↢૕㊀ߪᐔ 200g wߥߊ‫ޔ‬ૐ಴↢૕㊀ఽ߇↥߹ࠇࠆߪ; 2 ޿ߣႎ๔ߐࠇߡ޿ࠆ㧔࿑ 9㧕'㧕‫ޔߚ߹ޕ‬ᅧᇚߩöߦࠃࠅ‫ޔ‬G↥ߩ⊒↢3ߪ; 2 ‫↥ޔ‬3ߪ; '.5‫ ^ᦼ↥ ޔ‬3ߪ; '.4 ߊߥࠆߣ޿ࠊࠇߡ޿ࠆ 2㧕㧔࿑ '0㧕‫ޕ‬Ë*Hopkinson JM, et al:Milk production by mothers of premature infants, influence ofcigarette smoking. Pediatrics 90: 934-938, 1992













᝼੃ᦼߩ༛ᾍߩᓇ㗀öߔࠆ᝼੃ᇚߩ੃ eùߦኻߔࠆ¢ ࠢߩᄌൻࠍuߒߚ⎇ⓥߦࠃࠆߣ‫ޔ‬ö⠪ߦߴߡö⠪ߩöᓟߩ¢ ࠢಽáߪߒ‫ߩߘޔ‬㊂߽ᷫwߒߡ޿ߚߣ޿߁ 3㧕‫ޕ‬ߎࠇߪ‫ޔ‬᝼੃ᦼߩ¹ࠍ↪޿ߚታ߆ࠄ‫÷ޔ‬îߦࠃࠆ¢ ࠢಽá²³ߩᓇ㗀ߢ޽ࠆߣ⠨߃ࠄࠇߡ޿ࠆ 4㧕‫ޕ‬ȝ 45 ȝ

ߐࠄߦ‫ ޔ‬ᣣߦ 4 ᧄએ਄ߩ༛ᾍࠍߒߡ޿ࠆ᝼੃ᇚߪ‫ޔ‬㕖༛ᾍߩ᝼੃ᇚߦᲧߴߡᲣ੃ಽᴲ㊂ߪ 0㨪
20㧑ૐਅߒ‫ߩߘޔ‬ૐਅߪ༛ᾍ㊂߇ᄙ޿߶ߤ⪺ߒ޿ߎߣ߇᣿ࠄ߆ߦߐࠇߡ޿ࠆ 5㧕‫ޔߚ߹ޕ‬ᐔᚑ㧞ᐕ੃ᐜఽり૕⊒⢒⺞ᩏ⚿ᨐߦ߅޿ߡ߽‫ޔ‬༛ᾍ⠪ߩᲣ੃ಽᴲ㊂ߪ㕖༛ᾍ⠪ߦᲧߴߡᷫዋߒߡ޿ࠆߎߣ߇ႎ
๔ߐࠇߡ޿ࠆ 6㧕㧔࿑ 㧕‫ޕ‬৻ᣇ‫ߦఽ੃ޔ‬ኻߔࠆ࠾ࠦ࠴ࡦߩ⋥ធߩᓇ㗀ߣߒߡߪ‫ ޔ‬ᣣ 20 ᧄએ਄༛ᾍߔࠆ᝼੃ᇚߩ࠾ࠦ࠴ࡦ㊂ߩᄙ޿Უ੃ࠍਈ߃ࠄࠇߚ੃ఽߪ‫ޔ‬ཌྷฯ‫ޔ‬ਅ∯‫ޔ‬⣂ᜉჇട‫޿ߣࠆࠇ⃻߇⁁∝ߩߤߥ޿ߥ߇߈⌕ߜ⪭ޔ‬߁ 7㧕‫ޕ‬Უⷫߩⴊᶧਛߩ࠾ࠦ࠴ࡦỚᐲߪ‫ߩࠄ⥄ޔ‬༛ᾍએᄖߦ߽‫ޔ‬ῳⷫߥߤ↢ᵴࠍ౒ߦߔࠆኅᣖߩ༛ᾍߦࠃ
ࠆฃേ༛ᾍߦࠃߞߡ߽᦭ᗧߦჇടߔࠆ‫ޔߚ߹ޕ‬ῳᲣߩ༛ᾍߦࠃࠅ‫੃ޔ‬ᐜఽߩฃേ༛ᾍ߽໧㗴ߣߥࠆ‫ޕ‬㕖༛ᾍߩਔⷫߦᲧߴ‫ޔ‬ਔⷫ߇༛ᾍߔࠆኅᐸߩዊఽ๭ๆེ∔ᖚߩ㗫ᐲߪ⚂ 3 ୚ 8㧕ߢ޽ࠆ‫ఽ੃ޔߦࠄߐޕ‬⓭ὼᱫ∝୥⟲㧔sudden infant death syndrome : SIDS㧕ߩ㗫ᐲߪ‫㉕ⷡߩఽ੃ޔ‬෻ᔕࠍㆃᑧߐߖࠆߚ
߼ߦ⚂ 5 ୚ߩ㜞₸ 9㧕ߢ޽ࠆߎߣ߇᣿ࠄ߆ߦߐࠇߡ޿ࠆ‫ޕ‬㧔ml㧕⾗ᢱ㧦ෘ↢ഭ௛⋭ ᐔᚑ 2 ᐕ੃ᐜఽり૕⊒⢒⺞ᩏ⚿ᨐ࿑  Უⷫߩ༛ᾍ⠌ᘠߣᴲ੃㊂ᅧᆼᦼᅧᆼᦼ࡮᝼੃ᦼߦߪ⑌㈬ࠍ
ᅧᆼᦼߩ㘶㈬ߩᓇ㗀ᅧᆼᦼߦࠕ࡞ࠦ࡯࡞ࠍᏱ↪ߔࠆߣ‫ޔ‬⍮⢻㓚ኂ‫⊒ޔ‬⢒㓚ኂࠍ઻߁⢝ఽᕈࠕ࡞ࠦ࡯࡞∝୥⟲ߩሶߤ߽߇↢߹ࠇࠆน⢻ᕈ߇㜞߹ࠆ‫ޕ‬ᚒ߇࿖ߩ⎇ⓥߢߪ‫ޔ‬㨪2 ਁੱߩ಴↢ߦ  ੱߣ⠨߃ࠄࠇߡ޿ࠆ 0㧕-2㧕‫ޕ‬⣖ߩᒻᚑ⇣Ᏹߦኻߒߡߪࠕ࡞ࠦ࡯࡞ߦߚ߫ߎ߇ടࠊࠆߣჇᒝߐࠇࠆߎߣ߇‫ޔ‬േ‛ታ㛎ߢ⏕⹺ߐࠇߡ޿ࠆ )‫ޕ‬߹ߚ‫ޔ‬⢝ఽᕈ࡞î࡯࡞∝ߪ‫ 'ޔ‬ᣣߦ࡞î࡯࡞㧔ࠛk࡯࡞¢㧕60ml ¤਄ߩ៨ขߢ
ߩ⊒∝߇⹺߼ࠄࠇߡ޿ࠆ '2㧕‫࡞ޕ‬î࡯࡞ 60ml ߪ; 50g ߦRߒ‫ޔ‬j࡯࡞ߢߪ; 2.5 㧔'250ml㧕‫ ;ߪߢޔ‬2 ว㧔400ml㧕
‫ ;࡞¸ߪߢ࡯¯ࠬ ޔ‬2.5 㧔'50ml㧕‫ߪߢ ޔ‬çࠬ
; 4 㧔500ml㧕ߦRߔࠆ‫ޕ‬ùߦࠃࠆ⇣Ᏹߩ߁Þ‫ޔ‬hiߪᅧᆼsᦼߦ‫߿⊒ޔ‬N␹⚻Äߩ¾ਇߪᅧᆼuᦼߩùߣ !߇޽ࠆ‫ޕ‬᝼੃ᦼߩ㘶㈬ߩᓇ㗀ࠕ࡞ࠦ࡯࡞ߪ㘶㘩ᓟ 30㨪60 ಽᓟߦⴊᶧਛߩỚᐲߪᦨᄢߦߥࠆߣ޿ࠊࠇ‫ޔ‬Უ૕ⴊਛỚᐲߩ 90㨪95㧑߇Უ੃ߦᬌ಴ߐࠇ‫ޔ‬㘶㈬㊂ߩᐔဋ 2.0r0.2㧑߇੃ఽߦ⒖ⴕߔࠆ 3㧕‫ޔߚ߹ޕ‬㐳ᦼߦࠊߚࠆ㘶㈬߿㘶㈬㊂߇ᄙ޿႐วߦߪ‫ޔ‬༛ᾍᓟߣห᭽ߦ੃ఽߩๆߡߟೝỗߦࠃࠆࡊࡠ࡜ࠢ࠴ࡦߩಽᴲ㊂ߩૐਅߦࠃࠆᲣ
੃ಽᴲ㊂ߩᷫዋ߇ⷰኤߐࠇ‫⚿ߩߘޔ‬ᨐߣߒߡ੃ఽߩᚑ㐳߇ᛥ೙ߐࠇߚߣ޿߁ႎ๔߽޽ࠆ 4㧕‫ޕ‬ȝ 46 ȝ

ᢥ₂
㧕Hopkinson JM, et al:Milk production by mothers of premature infants, influence of cigarettesmoking. Pediatrics 992;90: 934-938.
2㧕Meyer MB:Effects of maternal smoking and attitude on birth weight and gestation. In Reed
DM,Stanley FJ (ed) :The Epidemiology of Prematurity, Urban and Schwartzenberg, Munich,977;8-84.
3㧕Andersen AN, Lund-Andersen C, Larsen JF, Christensen NJ, Legros JJ, Louis F, Angelo H, Molin
J: Suppressed prolactin but normal neurophysin levels in cigarette smoking breast-feeding
women. Clin. Endocrinol. 982;7:363-368.
4㧕Blake CA, Sawyer CH: Nicotine block the suckling-induced rise in circulating prolactin in
lactating rats. Science, 972;77:69-62.
5㧕Vio F, Salazar G, Infante C: Smoking during pregnancy and lactation and its effects onbreast-milk volume. Am. J. Clin. Nutr. 99;54:0-06.
6㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 2 ᐕ੃ᐜఽり૕⊒⢒⺞ᩏ⚿ᨐ㧚
7㧕Bisdorn CTW: Alcohol and nicotine poisoning in infants. Maandschr Kindergeneeskd
937;6:332-34.
8㧕૒‫⨃ᧁޘ‬㧚 㘶㈬‫ޔ‬༛ᾍߩ⠌ᘠࠍ߽ߟᅧᇚߦኻߔࠆ๟↥ᦼ଻ஜᜰዉ‫ޔ‬๟↥ᦼකቇ 2000;30: 203-207㧚
9㧕೨ựବਯ㧦੃ᐜఽ⓭ὼᱫ∝୥⟲㧔sudden infant death syndrome: SIDS㧕ߣᲣ੃ᩕ㙃‫↥ޔ‬ᇚੱ⑼ߩ
਎⇇‫ޔ‬54 ‫ޔ‬2002;533-536㧚0㧕↰ਛ᥍⟤‫ޔ‬㜞ፉᢘᔘ‫ޔ‬㚍႐৻㓶‫ઁޔ‬㧦ࠊ߇࿖ߦ߅ߌࠆ⢝ఽᕈࠕ࡞ࠦ࡯࡞∝୥⟲‫ޔ‬ᣣᧄක੐ᣂႎ‫ޔ‬
979;2897㧦27-30㧚
㧕Tanaka H: Brain damage associated with prenatally environmental factors. Proceeding of the
6th International Disabilities, Tokyo, 994;75.
2㧕↰ਛ᥍⟤㧦ᣣᧄߦ߅ߌࠆᲣⷫߩ㘶㈬ߦࠃࠆሶߤ߽ߩ⇣Ᏹߩ⃻⁁‫ޔ‬ᣣᧄක੐ᣂႎ‫ޔ‬995;374㧦45-49‫ޔ‬995㧚
3㧕Mennella J, Beauchamp G: The transfer of alcohol to human milk. New Eng. J. Med. 325, 98-985.
4㧕Subramanian M, Abol E: Alcohol inhibits suckling-induced prolactin release and milk yield.
Alcohol, 988;5:95-98.

ȝ 47 ȝᔃりߩࠁߣࠅ޽ࠆ↢ᵴࠍᅧᆼᦼ࡮᝼੃ᦼߪࡎ࡞ࡕࡦߩᄌൻߣᔃℂ࡮␠ળ⊛ߥ⁁ᴫߩᄌൻࠍหᤨᦼߦ⚻㛎ߔࠆߚ߼ߦ‫ޔ‬り૕⊛ߦ߽♖␹⊛ߦ߽ਇ቟ቯߦߥࠅ߇ߜߢ޽ࠆ‫ޔߢߎߘޕ‬㘩੐ߩߣࠅᣇ߿ㆡᐲߥㆇേ‫ޔ‬ભᕷ‫߽ߦ⌁⌧ޔ‬⠨ᘦߒ‫ޔ‬૕㊀ߩᄌൻߥߤߦߟ޿ߡ߽‫ޔ‬‫ޔޠ޿ߥࠄߥ߫ࠇߌߥߒ߁ߎޟ‬‫৻ߥ߁ࠃ߁޿ߣޠ߈ߴࠆ޽߁ߎޟ‬ᣇ⊛ߥᜰዉߦࠃࠅ‫ޔ‬ᅧ↥ᇚ⥄りߩり૕⊛࡮♖␹⊛ߥ⽶ᜂ߇Ⴧߔߎߣߩߥ޿ࠃ߁‫ޔ‬୘‫⁁ߩޘ‬ᴫࠍ〯߹߃ߚㆡಾߥ࡜ࠗࡈࠬ࠲ࠗ࡞߇⏕┙ߢ߈ࠆࠃ߁ߦᡰេߔࠆ‫ޕ‬߹ߚ‫ޔ‬Უⷫߣሶߤ߽߇ஜ߿߆ߥ↢ᵴࠍㅍࠆߚ߼ߦߪኅᣖ߿๟࿐ߩℂ⸃ߣදജ߇ਇนᰳߢ޽ࠆ‫ޕ‬ᅧᆼ࡮಴↥ߦኻߒਇ቟ࠍᛴ޿ߚࠅ‫ޔ‬ᢿ⛯⊛ߥ᝼੃ߢᕁ߁ࠃ߁ߦ⌧⌁߇ߣࠇߥ߆ߞߚࠅ‫ޔ‬ᣣ‫ߩޘ‬㘩੐ߠߊࠅ߇⽶ᜂߦߥߞߚࠅߣ‫↢ߩߢ߹ࠇߘޔ‬ᵴߣߪ⇣ߥࠆਇ቟ቯߥⷐ⚛߽⴫ࠇߡߊࠆߩߢ‫⁁ߚߒ߁ߘޔ‬ᴫࠍฃߌߣ߼‫ޔ‬ሶߤ߽߿ኅᣖߣߩ᥵ࠄߒࠍᭉߒ߼ࠆࠃ߁ߥᡰេ߇ᔅⷐߣߥࠆ‫ߦࠄߐޕ‬௛ߊᅚᕈ߇‫ޔ‬቟ᔃߒߡᅧᆼᦼ࡮᝼੃ᦼࠍㆊߏߖࠆࠃ߁‫ޔ‬⡯႐ߩℂ⸃߿␠ળⅣႺߩᢛ஻߽ᔅⷐߢ޽ࠆ‫ޕ‬ᅧ↥ᇚߩߚ߼ߩ㘩⢒㧖9 ߩ൘߼ஜ߿߆ߥᔃߣり૕ࠍ⢒߻ߚ߼ߦߪ‫ޔ‬‫ޟ‬૗ࠍ‫ޠ‬‫ޠߌߛࠇߤޟ‬㘩ߴࠆ߆ߣ޿߁ߎߣߣߣ߽ߦ‫ޔ‬‫ޠߟ޿ޟ‬‫ߤޟ‬ߎߢ‫ޠߦ߁ࠃߩߤޟޠߣ⺕ޟޠ‬㘩ߴࠆ߆ߣ޿߁ߎߣ߇㊀ⷐߢ޽ࠆ‫ߩߣੱޕ‬㑐ࠊࠅ߽฽߼‫߶ߩࠄࠇߎޔ‬ߤࠃ޿ࡃ࡜ࡦࠬ߇‫ޔ‬ᔃ࿾ࠃ޿㘩ථࠍ૞ࠅ಴ߒ‫ޔ‬ᔃߩ቟ቯࠍ߽ߚࠄߒ‫ޔ‬ஜᐽߥ㘩⠌ᘠߩၮ␆ߦߥߞߡ
޿ߊ‫ⷫޕ‬ሶߩ㑐ࠊࠅ߇‫ߩߣੱޔ‬㑐ࠊࠅߩ಴⊒ὐߦߥࠅ‫ߩߘޔ‬㑐ࠊࠅߦࠃߞߡ‫ޔ‬቟ᔃᗵ߿ା㗬ᗵ߇⢒߹ࠇߡ޿ߊߎߣߦߥࠆ‫ޕ‬᝼੃ᦼߦ‫ޔ‬቟ᔃߣ቟ࠄ߉ߩਛߢᲣ੃ࠍ㘶߻ᔃ࿾ࠃߐࠍ๧ࠊ߁ߎߣߦߪߓ߹
ࠅ‫੃ޔ‬ᐜఽᦼ߆ࠄ‫ޟޔ‬ᭉߒߊ㘩ߴࠆሶߤ߽㧖0‫⋡ࠍޠ‬ᮡߦ‫⊒ޔ‬⢒࡮⊒㆐Ბ㓏ߦᔕߓߚ⼾߆ߥ㘩ߩ૕㛎ࠍⓍߺ㊀ߨߡ޿ߊߎߣߦࠃߞߡ‫↢ޔ‬ᶦߦࠊߚߞߡஜᐽߢ޿߈޿߈ߣߒߚ↢ᵴࠍㅍࠆၮᧄߣߒߡߩ㘩ࠍ༡߻ജ߇⢒߹ࠇߡ޿ߊ‫ޕ‬ᅧᆼᦼ࡮᝼੃ᦼߪ‫ޔ‬ᅧ↥ᇚ⥄りߩஜᐽߩ⛽ᜬ࡮Ⴧㅴ߿ሶߤ߽ߩ⊒⢒ߩߚ߼ߦ㊀ⷐߥᤨᦼߢ޽ࠆߣ
ߣ߽ߦ‫ߩߘޔ‬ᓟߦ⛯ߊ⢒ఽߦ߅޿ߡ‫ޔ‬ሶߤ߽ߩ㘩ࠍ༡߻ജࠍ⢒ࠎߢ޿ߌࠆࠃ߁ߦᣣ‫ߩޘ‬㘩੐ౝኈ߿㘩੐ⅣႺࠍ⦟ᅢߥ⁁ᘒߦᢛ߃ߡ޿ߊߚ߼ߩḰ஻Ბ㓏ߦ޽ࠆ‫ޔߚ߹ޕ‬ㆡಾߥ㘩ຠㆬᛯ߿㘩੐ߩḰ஻ߩߚ߼ߦᔅⷐߥ⍮⼂߿ᛛⴚࠍ߽ߚߥ޿‫ߪ޿ࠆ޽ޔ‬㘩ߦኻߔࠆ⥝๧㨯㑐ᔃ߇ߥ޿ߣ࿁╵ߔࠆ⠪ߩഀว߇
20 ᱦઍ෸߮ 30 ᱦઍߢ․ߦᄙ޿⁁ᴫߦ޽ࠆ㧝㧕㧞㧕‫ޕ‬‫ޟ‬㘩‫ޔߪޠ‬๧ࠊߞߡ㘩ߴߚࠅ‫ޔ‬㘩੐ࠍ૞ߞߚࠅḰ஻ࠍߒߚࠅ‫ߩߘޔ‬ਛߢੱߣ㑐ࠊߞߚࠅ‫ޔ‬㘩ߦ㑐ߔࠆᖱႎࠍᓧߡ೑↪ߒߚࠅߣ‫ޔ‬᭽‫ⴕߥޘ‬േߩ⚵ߺวࠊߖߦࠃߞߡ༡߹ࠇࠆ߽ߩߢ޽ࠆ‫ޔߡߒߘޕ‬㘩ߴ‛߿ᢱℂߪ‫ޔ‬࿾ၞ߿ቄ▵‫ޔ‬㘩᧚ߩ⒳㘃߿⺞ℂᣇᴺ╬ߦࠃߞߡ⇣ߥࠆߣ޿ߞߚࠃ߁ߦታߦᄙ᭽ߥᐢ߇ࠅࠍ߽ߞߡ޿ࠆ‫ޕ‬୘‫⥝߇ੱޘ‬๧࡮㑐ᔃࠍ߽ߜ߿ߔ޿
ߣߎࠈ߆ࠄ‫ޟ‬㘩‫ߩߣޠ‬㑐ࠊࠅࠍᷓ߼ࠆਛߢ‫ޔ‬ஜᐽߥ㘩↢ᵴࠍታ〣ߔࠆߚ߼ߦᔅⷐߥ⍮⼂߿ᛛⴚࠍりߦߟߌ‫ޔ‬㘩⢒߳ߩℂ⸃‫ޔ‬ታ〣߳ߣߟߥߍߡ޿ߊߎߣ߇㊀ⷐߢ޽ࠆ‫ޕ‬

ȝ 48 ȝ[9Ì㘩⢒ߣߪ‫↢ޔ‬ᶦߦࠊߚߞߡஜోߥ㘩↢ᵴࠍታ⃻ߔࠆߎߣߦࠃࠅ‫ޔ‬ᔃりߩஜᐽߩჇㅴߣ⼾߆ߥੱ㑆ᒻᚑࠍ࿑ࠆ

ߎߣࠍߨࠄ޿ߣߔࠆ߽ߩߢ޽ࠆ‫ޕ‬㘩⢒ߪ޽ࠄࠁࠆ਎ઍߩੱ‫ߦޘ‬ᔅⷐߣߐࠇ‫ߦ․ޔ‬ሶߤ߽ߦኻߔࠆ㘩⢒ߪᔃりߩᚑ㐳߿⼾߆ߥੱ㑆ᕈࠍ⢒߻ၮ␆ߣߥࠆ߽ߩߢ޽ࠅ‫ࠄࠇߎޔ‬㘩⢒ߦ㑐ߔࠆᣉ╷ࠍ✚ว⊛߆ߟ⸘↹⊛ߦផㅴߔࠆߚ߼‫ޔ‬ᐔᚑ 7 ᐕ 6 ᦬ߦ‫ޟ‬㘩⢒ၮᧄᴺ‫߁޿ߣޠ‬ᣂߚߥᴺᓞ߇౏Ꮣߐࠇ‫ޔ‬㧣᦬ߦᣉⴕߐࠇߚ‫ޕ‬㘩⢒ၮᧄᴺߦߪ‫ޔ‬ၮᧄ⊛ᣉ╷ߩ㧝ߟߣߒߡ‫ޔ‬ᅧ↥ᇚߦኻߔࠆᩕ㙃ᜰዉ߿੃ᐜఽࠍߪߓ߼ߣߔࠆሶߤ߽ࠍኻ⽎ߣߔࠆ⊒㆐Ბ㓏ߦᔕߓߚᩕ㙃ᜰዉߥߤኅᐸߦ߅ߌࠆ㘩⢒ߩផㅴߦߟ޿ߡ⋓ࠅㄟ߹ࠇߡ޿ࠆ‫ޕ‬㧔ෳ⠨⾗ᢱ 5 ෳᾖ㧕}ÌKLÍ

[\0~ÎÏÐÑÒÆÎÏÐÑÒÆ‫ޟ‬㘩ࠍㅢߓߚሶߤ߽ߩஜో⢒ᚑ㧔㧙޿ࠊࠁࠆ‫ޟ‬㘩⢒‫ⷞߩޠ‬ὐ߆ࠄ㧙㧕ߩ޽ࠅᣇߦ㑐ߔࠆᬌ⸛ળ㧔ෘ↢ഭ௛⋭㓹↪
ဋ╬࡮ఽ┬ኅᐸዪਥ௅㧕‫ޔߪߢޠ‬ᰴઍࠍᜂ߁ሶߤ߽߇‫ޟ‬㘩‫ࠍޠ‬ㅢߒߡᔃりߣ߽ߦஜ߿߆ߦ⢒ߟߚ߼ߩข⚵ࠍ৻ጀలታߐߖߡ޿ߊߚ߼ߦ‫ޔ‬ሶߤ߽ߩ㘩ߦ㑐ߔࠆᡰេࠟࠗ࠼ߩ૞ᚑߦะߌߡᬌ⸛ࠍⴕ޿‫ޔ‬ᐔᚑ 6 ᐕ 2 ᦬ߦᬌ⸛ળႎ๔ᦠ
‫ޟ‬ᭉߒߊ㘩ߴࠆሶߤ߽ߦ㧙㘩߆ࠄߪߓ߹ࠆஜ߿߆ࠟࠗ࠼㧙‫ߩߘޕߚߒ⴫౏ޔ߼ߣ߹ࠅߣࠍޠ‬ਛߢ‫ޔ‬㘩ࠍㅢߓߚሶ
ߤ߽ߩஜో⢒ᚑߢߪ‫ޔ‬ሶߤ߽߇ᐢ߇ࠅࠍ߽ߞߚ‫ޟ‬㘩‫ߦޠ‬㑐ࠊࠅߥ߇ࠄᚑ㐳ߒ‫ޔ‬‫ޟ‬ᭉߒߊ㘩ߴࠆሶߤ߽‫޿ߡߞߥߦޠ‬ߊߎߣࠍ⋡ᜰߒ‫ౕޔ‬૕⊛ߦ‫ޟ‬㘩੐ߩ࡝࠭ࡓ߇߽ߡࠆ‫ߤߥޠ‬࿑ 0 ߩ 5 ߟߩሶߤ߽ߩᆫࠍ⋡ᮡߣߒߚ‫⋡⚳ᦨޕ‬ᮡߣߔࠆ‫ޟ‬ᭉߒߊ㘩ߴࠆሶߤ߽‫ޔߪߣޠ‬‫ޟ‬ᔃߣり૕ߩஜᐽ‫ޔߜ଻ࠍޠ‬‫ߩߣੱޟ‬㑐ࠊࠅ‫ࠍޠ‬ㅢߒߡ␠ળ⊛ஜᐽࠍၭ޿ߥ߇ࠄ‫ޔ‬‫ޟ‬㘩ߩᢥൻߣⅣႺ‫ߩߣޠ‬㑐ࠊࠅߩਛߢ‫↢ߚߒߣ߈޿߈޿ޔ‬ᵴࠍㅍࠆߚ߼ߦᔅⷐߥ‫ޟ‬㘩ߩࠬࠠ࡞㧔㘩ࠍ༡߻ߩߦᔅⷐߥ⢻ജ㧕‫ࠍޠ‬りߦߟߌߡ޿ߊሶߤ߽ߩᆫߢ޽ࠆ‫ޔߪߢ࠼ࠗࠟޕ‬᝼੃ᦼ߆ࠄᕁᤐᦼ߹ߢࠍㅢߒߡ‫⊒ߩߘޔ‬⢒࡮⊒㆐ㆊ⒟ߦᔕߓߚ‫ޟ‬㘩ߴࠆജ‫ౕޔߡ޿ߟߦޠ‬૕⊛ߦ␜ߐࠇߡ޿ࠆ‫ޕ‬}­@ÑÒÆᢥ₂ÓÔÌJÕG¿Ö?ÌEqrÕ

×=P%&

ØÙÚÛ

~

࿑ 0 㘩ࠍㅢߓߚሶߤ߽ߩஜో⢒ᚑߩߨࠄ޿ߣ⋡ᮡ㧕ෘ↢ഭ௛⋭㧚ᐔᚑ  ᐕ࿖᳃ᩕ㙃⺞ᩏ⚿ᨐ㧚

2㧕ෘ↢ഭ௛⋭㧚ᐔᚑ 2 ᐕ࿖᳃ᩕ㙃⺞ᩏ⚿ᨐ㧚
3㧕ෘ↢ഭ௛⋭㧚‫ޟ‬㘩ࠍㅢߓߚሶߤ߽ߩஜో⢒ᚑ㧔㧙޿ࠊࠁࠆ‫ޟ‬㘩⢒‫ⷞߩޠ‬ὐ߆ࠄ㧙㧕ߩ޽ࠅᣇߦ㑐ߔࠆᬌ⸛ળ‫ޠ‬ႎ๔ᦠ㧚2004㧚

ȝ 49 ȝ

>Ü

@‫ޟ‬㘩੐ࠬ

xstuvzd{ÝBÞ

KLMNOP‫ޔߪޠ‬㘩ຠຠߩ⚵วߖߢߪߥߊ‫ޔ‬ËÌߩ⚵วߖࠍ ߦZ⃻ߔࠆߎߣࠍၮߣߒߡ‫ޕࠆ޿ߡߞߥߣ࡞࡯ߥ⊛ⷞ޿ߔ߿ߺߒⷫ߇߽ޔ‬ታ㓙ߩ㘩੐ࠍ⚵ߺcߡࠆ㓙ߪ㧝ᣣࠍQߣߒߡࠬࠍ⠨߃ࠆߎߣ߇ታ㓙⊛ߢ޽ࠆߎߣ߆ࠄ‫ޔ‬㧝ᣣߦߣࠆ߅߅ࠃߘߩ
㊂߇îïߩ਄ߩËÌߣߒߡ␜ߐࠇߡ޿ࠆ‫߿࡯ࠡ࡞ࡀࠛޔߒ߆ߒޕ‬ᩕ㙃⚛ߩㆡᱜߥ៨ขߣ޿߁ߎ
ߣߦߟ޿ߡߪ‫ޔ‬㧝ᣣߩߺߩ㘩੐ߢ§ߢ߈ࠆ߽ߩߢߪߥߊ‫ޔ‬⠌ᘠ⊛ߥ៨ขࠍ޽ࠊߖߡ⠨ߔࠆߎߣ߇ᔅⷐߢ޽ࠆ‫ޕ‬㘩੐ࠍ®%ߔࠆߦRߚߞߡߪ‫ޔ߹ޔ‬ᅧ↥ᇚߩᐕD‫ޔ‬૕⁁ᴫ㧔 ‫ޔ‬૕㊀‫ޔ‬ᅧᆼ2᝼੃ߩ⁁ᴫ╬㧕‫ޔ‬૕ᵴ¬㊂ߥߤࠍ!ߒ‫޿ߒ߹ᦸޔ‬㘩੐ߩࠛࡀ࡞ࠡ࡯㊂ࠍ0ቯߒߚ਄ߢ‫ޔ‬ËÌಽ(Í㘩‫ޔ‬ÖÒ‫ޔ‬ÍÒ‫ޔ‬á੃2੃Üຠ‫ޔ‬â)ߩ៨ขߩ⋡቟㧔ߟ(SV)㧕ࠍ⸳ቯߔࠆ‫ޔߦ<ޕ‬ᅧ↥ᇚߩ૕⁁ᴫ‫ࠬ ޔ‬k ࡞‫÷ޔ‬ø╬ࠍ⠨ߒߡ‫ޔ‬㧝ᣣಽߩ៨ขߩ⋡቟ߣߥࠆ㊂߇‫ᦺޔ‬2"2#㧔[㧕㘩ߢÆÌߥߊߣࠇࠆࠃ߁ߦಽߔࠆ‫ޕ‬ߥ߅‫ޔ‬‫ޟ‬㘩੐ࠬ

‫ޔߪߢޠ‬YÀ«ߦߔࠆËÌ߿㘩ຠ߇␜ߐࠇߡ߅ࠅ‫⺞ޔ‬Ì߿㘩$ߢÝ↪ߐࠇࠆ%º߿㘩üߪ‫ޔ‬ýîïþߩ ࠬ਄ߦߪZ⃻ߐࠇߡ޿ߥ޿‫ޔߚ߹ޕ‬ᓟ&ߔࠆࠃ߁ߦ‫ޔ‬ᅧᆼߦട⊛ߦᔅⷐߣߐࠇࠆߦߟ޿ߡ߽‫ޔ‬‫ޟ‬㘩੐ࠬ

‫ߢޠ‬é␜ߐࠇߡ޿ࠆ

ËÌߩߺߢߪචಽߥ៨ข߇Éߒ޿‫ߦ>ޔࠄ߆ߣߎߥ߁ࠃߩߘޕ‬ᅧᆼߦ߅޿ߡߪ‫ޔ‬㘩ü៨ขߩnoߣߥࠄߥ޿ߎߣ‫ޔ‬චಽߥߩ៨ขࠍ⋡ᜰߔߎߣߦߟ޿ߡߪ‫ޔ‬૕⊛ߥ㘩੐ߩࠬߦട
߃ߡ‫߇ߣߎࠆߔߦࠄߐޔ‬ᔅⷐߢ޽ࠆ‫ޕ‬ȝ 4: ȝ

Ԙࠛࡀ࡞ࠡ࡯

ᅧ↥ᇚߩᐕD‫ޔ‬૕ᵴ¬y'࡞߆ࠄߺߚ㧝ᣣߦᔅⷐߥࠛࡀ࡞ࠡ࡯㊂ߦߟ޿ߡ៨ขߩ⋡቟㧔࿑㧝㧕ࠍෳ⠨ߦ‫޿ߒ߹ᦸޔ‬㘩੐ߩࠛࡀ࡞ࠡ࡯㊂ࠍ0ቯߔࠆ‫ࠍࠇߎޕ‬㧔ᅧᆼ2᝼੃㧕ၮ㊂ߣߔࠆ‫'ޕ‬8ß49 4ߩᅚᕈߩว‫ޔ‬2,000ß2,200kcal ߇ᐔ⊛ߢ޽ࠆߣ⠨߃ࠄࠇࠆ‫ߦ<ޕ‬ᅧᆼ2᝼੃ߩᦼ#㧔ᅧᆼsᦼ '‫ޔ‬ᅧᆼᦼ 2‫ޔ‬ᅧᆼuᦼ 3‫ޔ‬᝼੃ᦼ㧕ߦ‫ޔ‬ടߔߴ߈㊂(ട㊂)ࠍട¢ߔࠆ‫ߩߎޕ‬ട㊂ߣߪ‫ޔ‬ᅧᆼᦼߢߪᅧᆼߦࠃࠆ,ࠛࡀ࡞ࠡ࡯äÂ㊂ߣࠛࡀ࡞ࠡ࡯ë㊂‫ޔ‬᝼੃ᦼߢߪá੃㧔᝼੃ߒߚ\੃㧕Rಽߣ૕㊀ᷫwಽߢ޽ࠆ‫ޕ‬ട㊂ߪ‫ޔ‬sᦼ '(50kcal‫ޔ‬ᦼ 2(250kcal‫ޔ‬uᦼ 3(500kcal‫ޔ‬᝼੃ᦼ(450kcal ߣߥߞߡ޿ࠆ‫ޕ‬'ᅧᆼsᦼ*'6 ¥£ḩ

2ᅧᆼᦼ*'6 ¥ß28 ¥£ḩȝ 51 ȝ

3ᅧᆼuᦼ*28 ¥¤)ԙਥ㘩‫ޔ‬೽⩿‫ޔ‬ਥ⩿‫⵾੃࡮੃‐ޔ‬ຠ‫ޔ‬ᨐ‛ߩ៨ข⋡቟ߦߟ޿ߡ



'( )*+, -./0$

1(2134567.

8

9

5 !"#$%&:;<=>?3@!

(SV) F(G$H I(JK5%&JKLM.#NO>7.PQ$ RSTUVIWXYIZ[\I]LX^_`a. Lb,%:; <=Wcd] eIfg(hiLjkl
mnopmnqrIs(it\u5%&
XYIWvjwxvyx]z8|49    2,000|2,200kcal 5%Wnjwn\8>?% 7L8>?%]&4ST")
I(:;5%.LW5|!(SV)]W |¡!(SV)]Wd!(SV)]Wd!(SV)]8¢*%&jw£¤>[\I8¥"$1/XYI(<=5%&jw¤Lb$XYIL¦5%[\I(§¨!(SV)©\5%&jwª¤y¤Lb$XYIL¦5%[\I 5-1/«6§¨!(SV)©\5%&

ȝ 52 ȝ

Ԛฦᢱℂ඙ಽߩ៨ขߩ⋡቟㧔㨬ߟ(SV)㨭㧕ߦࠃࠆᅧᆼᦼ࡮᝼੃ᦼߩઃട㊂ߦߟ޿ߡ㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭ߩᬌ⸛ߦ↪޿ࠄࠇߚਥߥᢱℂ࡮㘩ຠߩ࠺࡯࠲㧔㨬ࡈ࡯࠼ࠟࠗ࠼㧔઒⒓㧕
ᬌ⸛ળႎ๔ᦠ㨭 p.36-4㧕ߦၮߠ߈‫ޔ‬ฦᢱℂ඙ಽߦ߅ߌࠆ㨬SV㨭ᒰߚࠅߩࠛࡀ࡞ࠡ࡯෸߮ᩕ㙃⚛
ࠍ▚಴ߒߚ‫ߩࠄࠇߎޕ‬ᐔဋ୯෸߮ಽᏓ߆ࠄ‫ޔ‬ᅧᆼਛᦼ෸߮ᧃᦼߦ߅޿ߡ㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭ߩ㨬ߟ(SV)㨭ࠍ↪޿ߚ႐วߦઃടߐࠇࠆࠛࡀ࡞ࠡ࡯෸߮ਥߥᩕ㙃⚛㊂ࠍផቯߒߚ㧔⴫㧝㧕‫ޕ‬⴫㧝 㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭ࠍ↪޿ߚ႐วߦផቯߐࠇࠆࠛࡀ࡞ࠡ࡯෸߮ᩕ㙃⚛ߩઃട㊂䉣䊈䊦䉩䊷 (kcal)
䈢䉖䈴䈒⾰(g)䍀㘩੐䊋䊤䊮䉴䉧䉟䊄䍁䈱SV䈮䉋䉎ઃട㊂㘩੐៨ขၮḰ䈮䉋䉎ઃട㊂ᅧᆼਛᦼ
ᅧᆼᧃᦼ෸䈶᝼੃ᦼ ᅧᆼਛᦼ ᅧᆼᧃᦼ ᝼੃ᦼᐔဋ୯ ▸࿐(㫧䋱SD䋩ᐔဋ୯ ▸࿐(㫧䋱SD䋩
235
㪈28䌾3425㪈2
333䌾690
250
500
450
8.5

3.8䌾㪈3.2

㪈7.5

9.5䌾25.6

⢽⾰(䌧)

9.6

㪈.8䌾㪈7.5

㪈7.3

0.9䌾33.7

὇᳓ൻ‛(g)29.8

㪈3.5䌾46.㪈

7㪈.㪈

43.3䌾99

㋕(mg)

2.0

0䌾3.㪈

2.0

0䌾4.2

㪈0

㪈0

㪈3

㪈3

2.5

䉦䊦䉲䉡䊛(mg)

74

0䌾㪈55

㪈94

79䌾3㪈0䊧䉼䊉䊷䊦ᒰ㊂(㱘gRE)

㪈35

0䌾3㪈2

㪈89

0䌾492

70

70

420

䊎䉺䊚䊮B㪈(mg)0.㪈90.03䌾0.34

0.30

0.03䌾0.56

0.㪈

0.3

0.㪈

䊎䉺䊚䊮B2(mg)0.㪈70.03䌾0.3㪈

0.32

0.05䌾0.59

0.2

0.3

0.4

䊎䉺䊚䊮䌃(mg)

43

0䌾㪈0㪈

43

0䌾㪈07

㪈0

㪈0

50

଀߃߫‫ޔߪߡ޿ߟߦ࡯ࠡ࡞ࡀࠛޔ‬㨬㘩੐ࡃ࡜ࡦࠬࠟࠗ࠼㨭ߩ㨬ߟ(SV)㨭ࠍ↪޿ߡ⹥ᒰߔࠆᢱℂ඙ಽࠍઃടߔࠆߣ‫ޔ‬ᅧᆼਛᦼߦߪᐔဋߣߒߡ 235kcal ߩ‫ޔ‬ᅧᆼᧃᦼ෸߮᝼੃ᦼߦߪ 52kcal ߩჇಽ߇⷗ㄟ߹ࠇࠆ‫ޕ‬ᩕ㙃⚛ߦߟ޿ߡߪ‫ޔ‬㋕એᄖߪᅧᆼ࡮᝼੃ਛߦઃട⊛ߦᔅⷐߣߐࠇࠆ㊂ࠍ߶߷ḩߚߔߣ⠨߃ࠄࠇࠆ‫ޕ‬ᓥߞߡ‫ޔ‬㋕ߦߟ޿ߡߪ‫ޔ‬㘩੐ో૕ߣߒߡߩࡃ࡜ࡦࠬ߳ߩ㈩ᘦߦട߃ߡ‫ޔ‬㨬ᅧ↥ᇚߩߚ߼ߩ㘩↢ᵴᜰ㊎㨭ߦ␜ߐࠇߡ޿ࠆࠃ߁ߦ‫ޔ‬㋕ࠍᄙߊ฽߻㘩ຠࠍᗧ⼂ߒߡㆬᛯߔࠆᔅⷐ߇޽ࠆ‫ޕ‬

ȝ 53 ȝ

!"#$% &



¶q·(¸n¹"ºrL»¼!,%½  PQ$¾¿4bb0H I(2134567.½ 
8ÈÉÊV (ÀK5%.Á¶ÂÃÄÅÆÇkÄ

WËÌ]ÍÎÏ WÐÑÒÓÔÕÖ ×ØºÙÚÛÜØÝÞßàáâãáâäåæçè](éa¨ê¨dëdìíLJîÍÎ(ï_.ð>?3éa¨ñêñë¡íLòóô8;3Q/*.& õéa¨dê ëLö÷ÄWMx]Á¶ÄWMx]ÅÆÇkÄL03¶q· 8ÀK¢*
H*(ø,Lù2%úûü ;3¾ýþ·(K.¶q· ïL!$ 8
K¢*%")m½LÝÞ>1"¶q L ,.



8ï/*

_.&

õQ.¶q(.ÝÞ^63$1/ :;
 3s ¶qN Ö(.ü "\")L¦¶q·(

5%L0303 6 Û!Lßà¶qL!$ ú4""#(mL!,½/$¶qN $%4 &'L»¼!,½/8>?
%&õ 0">(L)XYÚWéa¨ñêÚ*+ ,]8aØ.ð>?%8)XYÚ.oL-.(//ÜL¦½@FLú5%0À 123(4$%56%&

õ.1/¶q·(¸n¹"ºrL»¼[,%½ '( )*+, -./0$1$

XY(mL[,% 7TPQ$ 3þ4bb

0H I(213456 8>7.½ (ÀK5%.&ȝ 54 ȝ

' ()(*+,-./0䂾 ਄ㇱ䈎䉌䇮චಽ䈭៨ข䈏ᦸ䉁䉏䉎ਥ㘩䇮೽⩿䇮ਥ⩿䈱㗅䈮ਗ䈼䇮‐੃䊶੃⵾ຠ䈫ᨐ‛䈮䈧䈇䈩䈲䇮ห⒟ᐲ䈫⠨䈋䇮ਗ೉䈮⴫䈚䈩䈇䉎䇯䂾 ᒻ⁁䈲䇮ᣣᧄ䈪ฎ䈒䈎䉌ⷫ䈚䉁䉏䈩䈇䉎䇸䉮䊙䇹䉕䉟䊜䊷䉳䈚䈩ឬ䈐䇮㘩੐䈱䊋䊤䊮䉴䈏ᖡ䈒䈭䉎䈫ୟ䉏䈩䈚䉁䈉䈫䈇䈉䈖䈫䉕⴫䈚䈩䈇䉎䇯䉁䈢䇮䉮䊙䈏࿁ォ䈜䉎䈖䈫䈲䇮ㆇേ䈜䉎䈖䈫䉕ㅪᗐ䈘䈞䉎䈫䈇䈉䈖䈫䈪䇮࿁ォ(ㆇേ)䈜䉎䈖䈫䈮䉋䈦䈩ೋ䉄䈩቟ቯ䈜䉎䈫䈇䈉䈖䈫䉅䇮૬䈞䈩⴫䈜䈖䈫䈫䈚䈢䇯䈭䈍䇮᳓ಽ䉕䉮䊙䈱ゲ䈫䈚䇮㘩੐䈱ਛ䈪ᰳ䈎䈞䈭䈇ሽ࿷䈪䈅䉎䈖䈫䉕ᒝ⺞䈚䈩䈇䉎䇯䂾 ၮᧄᒻ䈱䉮䊙䈱䉟䊤䉴䊃䈱ਛ䈮䈲䇮ਥ㘩䇮೽⩿䇮ਥ⩿䇮‐੃䊶੃⵾ຠ䇮ᨐ‛䈱ฦᢱℂ඙ಽ䈮䈍䈔䉎㪈ᣣ䈮䈫䉎㊂䈱⋡቟䈱ᢙ୯䋨䈧(SV)䋩䈫ኻᔕ䈘䈞䈩䇮䈾䈿ห䈛ᢙ䈱ᢱℂ䊶㘩ຠ䉕␜䈚䈩䈇䉎䇯䂾 ᣣᏱ⊛䈭⴫⃻䋨଀䋺䇸䈗䈲䉖(ਛ⋓䉍)䈣䈦䈢䉌䋴᧰⒟ᐲ䇹䋩䉕૬⸥䈜䉎䈖䈫䈮䉋䉍䇮䍀䈧(SV)䍁䉕↪
䈇䈩ᢙ䈋䉎䋱ᣣ㊂䉕䉟䊜䊷䉳䈚ᤃ䈒䈚䈩䈇䉎䇯䈚䈎䈚䇮䈖䉏䉌䈱ᢱℂ䈲ᔅ䈝䈚䉅䋱ᣣ䈱㘩੐䈱䈫䉍ᣇ䈱ౖဳ଀䉕␜䈚䈢䉅䈱䈪䈲䈭䈒䇮䈬䈱䉋䈉䈭ᢱℂ䈏ฦᢱℂ඙ಽ䈮฽䉁䉏䉎䈎䉕⴫⃻䈜䉎䈖䈫䈮ਥ⌒䉕⟎䈇䈢䉅䈱䈪䈅䉎䇯⥄ಽ䈏䋱ᣣ䈮ታ㓙䈮䈫䈦䈩䈇䉎ᢱℂ䈱ᢙ䉕ᢙ䈋䉎႐ว䈮䈲䇮ฝ஥䈱䇺ᢱℂ଀䇻䉕ෳ⠨䈮䇮䋱䈧䇮䋲䈧䈫ᜰ᛬䉍ᢙ䈋䈩䇮䈇䈒䈧䈫䈦䈩䈇䉎䈎䉕⏕䈎䉄䉎䈖䈫䈮䉋䉍䇮䋱ᣣ䈮䈫䉎⋡቟䈱ᢙ୯䈫Ყ䈼䉎䈖䈫䈏䈪䈐䉎䉋䈉䈮䈭䉎䇯ȝ 55 ȝ

>?xstuvzd{E

QR¹FGH䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᢱℂ඙ಽ䂾 䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᢱℂ඙ಽ䈫䈚䈩䈲䇮ਥ㘩䇮೽⩿䇮ਥ⩿䇮‐੃䊶੃⵾ຠ䇮ᨐ‛䈱䋵䈧䈫䈜䉎䇯䂾 䈠䉏䈡䉏䈱඙ಽ䈮฽䉁䉏䉎ᢱℂ╬䈮䈧䈇䈩䈲䇮એਅ䈱䈫䈍䉍䈪䈅䉎䇯㽲 ਥ㘩䈮䈲䇮὇᳓ൻ‛╬䈱ଏ⛎Ḯ䈪䈅䉎䈗䈲䉖䇮䊌䊮䇮㤖䊶䊌䉴䉺䈭䈬䉕ਥ᧚ᢱ䈫䈜䉎ᢱℂ
䈏฽䉁䉏䉎䇯㽳 ೽⩿䈮䈲䇮䊎䉺䊚䊮䇮䊚䊈䊤䊦䇮㘩‛❫⛽╬䈱ଏ⛎Ḯ䈪䈅䉎㊁⩿䇮䈇䉅䇮⼺㘃䋨ᄢ⼺䉕㒰䈒䇯䋩䇮䈐䈱䈖䇮ᶏ⮺䈭䈬䉕ਥ᧚ᢱ䈫䈜䉎ᢱℂ䈏฽䉁䉏䉎䇯㽴 ਥ⩿䈮䈲䇮䈢䉖䈴䈒⾰╬䈱ଏ⛎Ḯ䈪䈅䉎⡺䇮㝼䇮ෆ䇮ᄢ⼺෸䈶ᄢ⼺⵾ຠ䈭䈬䉕ਥ᧚ᢱ䈫
䈜䉎ᢱℂ䈏฽䉁䉏䉎䇯㽵 ‐੃䊶੃⵾ຠ䈮䈲䇮䉦䊦䉲䉡䊛╬䈱ଏ⛎Ḯ䈪䈅䉎‐੃䇮䊣䊷䉫䊦䊃䇮䉼䊷䉵䈭䈬䈏฽䉁䉏䉎䇯㽶 ᨐ‛䈮䈲䇮䊎䉺䊚䊮䌃䋬䉦䊥䉡䊛╬䈱ଏ⛎Ḯ䈪䈅䉎䉍䉖䈗䇮䉂䈎䉖䈭䈬䈱ᨐታ෸䈶䈜䈇䈎䇮䈇䈤䈗䈭䈬䈱ᨐታ⊛䈭㊁⩿䈏฽䉁䉏䉎䇯
䈭䈍䇮ᴤ⢽䊶⺞๧ᢱ䈮䈧䈇䈩䈲䇮ਥ㘩䊶ਥ⩿䊶೽⩿䈱඙ಽ䈮䈍䈔䉎ฦᢱℂ䈱ਛ䈪૶↪䈘䉏䈩䈇䉎䉅䈱䈪䈅䉍䇮೎䈮඙ಽ䉕⸳䈔䈩䈱ᢛℂ䈲䈚䈭䈇䈖䈫䈫䈚䈢䇯⴫⃻䈱ᣇᴺ㽲

ᢱℂ䈪⴫䈚䈢䈖䈫䈮䈧䈇䈩੹࿁䇮૞ᚑ䈜䉎䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈮䈧䈇䈩䈲䇮৻⥸䈱ੱ䇱䈮䈫䈦䈩䈱䉒䈎䉍䉇䈜䈘䇮䈭䈛䉂䉇䈜䈘䇮ᄖ㘩╬䈪䈱⴫␜䈱䈚䉇䈜䈘╬䉕⠨ᘦ䈚䇮඙ಽ䈗䈫䈮૗䉕䈬䉏䈣䈔㘩䈼䉎䈎䈫䈇䈦䈢䈖䈫䉕䇸ᢱℂ䇹䈪⴫⃻䈜䉎䈖䈫䈫䈚䈢䇯㽳⴫⃻䈱ᦼ㑆䉕䋱ᣣන૏䈫䈚䈢䈖䈫䈮䈧䈇䈩䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䉕ᵴ↪䈚䈩ታ㓙䈱㘩੐䉕⚵䉂┙䈩䉎㓙䈮䈲䇮䋱㘩Ფ䈱್ᢿ䊶ㆬᛯ䉅ᔅⷐ䈪䈅䉎䈏䇮ᄙ䈒䈱ੱ䈮䈫䈦䈩䈲䋱ᣣ䉕න૏䈫䈚䈩䊋䊤䊮䉴䉕⠨䈋䉎䈖䈫䈏ታ㓙⊛䈪䈅䉎䈖䈫䈎䉌䇮䋱ᣣ䈮䈫䉎䈍䈍䉋䈠䈱㊂䉕ᢱℂ䈫䈚䈩⴫⃻䈜䉎䈖䈫䈫䈚䈢䇯䈭䈍䇮䉣䊈䊦䉩䊷䈱៨ข䈫ᶖ⾌䈱䊋䊤䊮䉴䉇ฦ⒳ᩕ㙃⚛╬䈱ㆡᱜ㊂䉕៨ข䈜䉎䈫䈇䈉ⷰὐ䈎䉌䈲䇮䋱ᣣ䈱䉂䈱㘩੐䈪್ᢿ䈜䉎䈱䈪䈲䈭䈒䇮䉋䉍㐳ᦼ⊛䊶⠌ᘠ⊛䈭៨ข䉕૬䈞䈩⠨ᘦ䈜䉎ᔅⷐ䈏䈅䉎䇯
㽴ኻ⽎䈮䈧䈇䈩
ၮᧄᒻ䈫䈚䈩䈲䇮䇸ᚑੱ䇹䉕ኻ⽎䈫䈜䉎䇯ၮᧄᒻ䈮䈍䈇䈩ᗐቯ䈚䈩䈇䉎䉣䊈䊦䉩䊷㊂䈲䇮䈍䈍䉋䈠䋲䋲䋰䋰㫧䋲䋰䋰kcal䈪䈅䉎䇯䈘䉌䈮䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䉕䉋䉍ലᨐ⊛䈮ᵴ↪䈜䉎䈢䉄䈮䇮↢ᵴ⠌ᘠ∛੍㒐䈱ⷰὐ䈎
䉌䇮․䈮䇮䋳䋰䌾䋶䋰ᱦઍ䈱↵ᕈ䈱⢈ḩ⠪䇮නり⠪䇮ሶ⢒䈩䉕ᜂ䈉਎ઍ䈮ὶὐ䉕⛉䈦䈩䈠䈱ᵴ↪ᣇᴺ䉕␜䈚䈢䇯ȝ 56 ȝ

㽵

ฦᢱℂ඙ಽ䈱㊂⊛䈭ၮḰ෸䈶ᢙ㊂䈱⠨䈋ᣇ䈮䈧䈇䈩䇼ਥ 㘩 䋨䈗䈲䉖䇮䊌䊮䇮㤖 䋩䇽䊶 ਥ 䈫䈚䈩὇ ᳓ ൻ ‛ 䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮䈗䈲䉖䇮䊌䊮䇮㤖 ╬ 䈱ਥ ᧚ᢱ 䈮↱ ᧪ 䈜䉎὇ ᳓ ൻ ‛ 䈏䈍䈍䉋䈠40g䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈱㊂ ⊛ 䈭ၮ Ḱ 䋨䋽䍀䋱䈧(SV)䍁䋩䈮⸳ ቯ 䈚䈢䇯䊶 Ꮢ ⽼ 䈱䈍䈮䈑䉍㪈୘ ಽ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲䇮䋵䌾䋷䈧䋨SV䋩
䈫䈚䈢䈏䇮䈖䉏䈲䇮䈗䈲䉖䋨ਛ ⋓ 䉍䋩䋨䋽⚂ 㪈.5䈧ಽ 䋩䈪䈅䉏䈳䋴᧰ ⒟ ᐲ 䈮⋧ ᒰ 䈜䉎䇯䇼೽ ⩿ 䋨㊁ ⩿ 䇮䈐䈱䈖䇮䈇䉅䇮ᶏ ⮺ ᢱ ℂ 䋩䇽䊶 ਥ 䈫䈚䈩ฦ ⒳ 䊎䉺䊚䊮䇮䊚䊈䊤䊦෸ 䈶㘩 ‛ ❫ ⛽ 䈱ଏ ⛎ Ḯ 䈫䈭䉎㊁ ⩿ ╬ 䈮㑐 䈚䈩䇮ਥ᧚ ᢱ 䈱㊀ ㊂ 䈏䈍䈍䉋䈠70䌧䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈮䈍䈔䉎䍀䋱䈧(SV)䍁䈮⸳ ቯ 䈚䈢䇯䊶 ㊁ ⩿ 䉰䊤䉻䉇㊁ ⩿ 䈱䈍ᶐ 䈚䈭䈬䈱ዊ ㋬ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲䇮䋵䌾䋶䈧䋨SV䋩䈫䈚䈢䇯䇼ਥ ⩿ 䋨⡺ 䊶㝼 䊶ෆ 䊶ᄢ ⼺ ᢱ ℂ 䋩䇽䊶 ਥ 䈫䈚䈩䈢䉖䈴䈒⾰ 䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮⡺ 䇮㝼 䇮ෆ 䇮ᄢ ⼺ ╬ 䈱ਥ᧚ ᢱ 䈮↱ ᧪ 䈜䉎䈢䉖䈴䈒⾰ 䈏䈍䈍䉋䈠6g䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈱䍀䋱䈧(SV)䍁䈮⸳ ቯ 䈚䈢䇯䊶 㢚 ෆ 䋱୘ 䉕↪ 䈇 䈢ᢱ ℂ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲䇮䋳䌾䋵䈧䋨 S
V䋩䈫䈚䈢䇯䈭䈍䇮ਥ ⩿ 䈫䈚䈩⢽ ⾰ 䉕ᄙ 䈒฽ 䉃ᢱ ℂ 䉕ㆬ ᛯ 䈜䉎႐ ว 䈲䇮⢽ ⾰ 䉇䉣䊈䊦䉩 䊷 䈱ㆊ ೾ ៨ ข 䉕 ㆱ 䈔䉎 ᗧ ๧ 䈎 䉌 䇮਄ ⸥ 䈱 ⋡ ቟ 䉋 䉍䉅ዋ 䈭䉄 䈮ㆬ ᛯ 䈜 䉎ᔅ ⷐ 䈏 䈅䉎䇯䇼‐ ੃ 䊶੃ ⵾ ຠ 䇽䊶 ਥ 䈫䈚䈩䉦䊦䉲䉡䊛䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮ਥ ᧚ ᢱ 䈮↱ ᧪ 䈜䉎䉦䊦䉲䉡䊛䈏䈍䈍䉋䈠㪈00mg䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈱䍀䋱䈧(SV)䍁䈮⸳ ቯ 䈚䈢䇯䊶 ‐ ੃ 䉮䉾䊒ඨ ಽ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲䇮䋲䈧䋨SV䋩䈫䈚䈢䇯䇼ᨐ ‛ 䇽䊶 ਥ 䈫䈚䈩䊎䉺䊚䊮䌃䉇䉦䊥䉡䊛䈱ଏ ⛎ Ḯ 䈫䈚䈩䈱ᨐ ‛ 䈱૏ ⟎ 䈨䈔䉕⠨ ᘦ 䈚䇮ਥ ᧚ ᢱ 䈱㊀ ㊂ 䈏䈍䈍䉋䈠㪈00g䈪䈅䉎䈖䈫䉕䇮ᧄ ඙ ಽ 䈮䈍䈔䉎䍀䋱䈧(SV)䍁䈮 ⸳ ቯ 䈚䈢䇯䊶 䉂䈎 䉖䋱୘ 䈏䈖䈱䍀䋱䈧ಽ 䍁䈮ᒰ 䈢䉎䇯㪈ᣣ 䈮䈫䉎㊂ 䈫䈚䈩䈲2䈧䋨SV䋩䈫䈚䈢䇯ȝ 57 ȝ㧠 ੹ᓟ䈱᥉෸ᵴ↪䈮ะ䈔䈩䂾䊁䊧䊎᡼ㅍ䇮㔀⹹ᐢ๔䈭䈬䊙䉴䊜䊂䉞䉝䉕ㅢ䈛䈩ో࿖䈮ᖱႎ⊒ା䉕ⴕ䈉ઁ䇮䉟䊮䉺䊷䊈䉾䊃਄䈱䊖䊷䊛䊕䊷䉳䇮᡽ᐭᐢႎ䇮䉲䊮䊘䉳䉡䊛╬䈱ฦ⒳䉟䊔䊮䊃䉕ᵴ↪䈚䈩䈇䈒ᔅⷐ䈏䈅䉎䇯䈖䉏䈫หᤨ䈮䇮䊌䊮䊐䊧䉾䊃䇮䊘䉴䉺䊷䇮㘩੐䈱⥄Ꮖ䉼䉢䉾䉪䉲䊷䊃䇮៤Ꮺ䉴䊃䊤䉾䊒䇮Ⴃ䉍⛗䈭䈬䇮ሶ䈬䉅䉇৻⥸䈱ᣇ䇱䈮ⷫ䈚䉂䉇䈜䈇䉫䉾䉵䉕૞ᚑ䈚䇮ੱ䈱ᄙ䈒㓸䉁䉎႐ᚲ䈪㈩Ꮣ䈜䉎䈖䈫䉅㊀ⷐ䈪䈅䉎䇯
䂾㘩ຠ↥ᬺ䈱ಽ㊁䉇࿾ၞ䈮䈍䈔䉎㘩↢ᵴᡷༀ╬䈱႐䈪䈱ౕ૕⊛䈭ข⚵䈪䈅䉎䇯䈠䈱㓙䈮ᄢಾ䈭䈖䈫䈲䇮න⊒䈱䉟䊔䊮䊃䈪⚳䉒䉌䈭䈇䇮㐳ᦼ䈮⛮⛯น⢻䈭⃻ታ⊛䈭ข⚵䉕⠨䈋䈩䈇䈒䈖䈫䈪䈅䉎䇯୘ੱ䈻䈱䉝䊒䊨䊷䉼䈮䈍䈇䈩䈲䇮䈠䈱୘ੱ䈱ታ㓙䈱㘩↢ᵴ䈫䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈪␜䈚䈩䈇䉎ౝኈ䋨ᦸ䉁䈚䈇㘩੐䈱䈫䉍ᣇ䋩䈫䈱㑆䈱䉩䊞䉾䊒䈏ᄢ䈐䈭႐ว䈮䈲䇮᰼ᒛ䉌䈝䈮ዋ䈚䈝䈧䈠䉏䉕ၒ䉄䈩䈇䈒ⷞὐ䉅ᔅⷐ䈪䈅䉎䇯䂾䉁䈢䇮㘩ຠ↥ᬺ╬䈻䈱䉝䊒䊨䊷䉼䈫䈚䈩䈲䇮㘩ຠ䈱⵾ㅧᬺ⠪䉇ടᎿᬺ⠪䇮ዊᄁᐫ䈱૞ᬺ෸䈶⾌↪⽶ᜂ╬䈱⽶⩄䈏ዋ䈭䈒䇮䈎䈧䊎䉳䊈䉴਄䈱䉟䊮䉶䊮䊁䉞䊑䈮䉅䈧䈭䈏䉎䈖䈫䈏ᦸ䉁䉏䉎䇯䋨䋱䋩ㇺ㆏ᐭ⋵䇮Ꮢ↸᧛╬䈮䈍䈔䉎ᵴ↪ᴺ䂾ᐢ䈒࿾ၞ૑᳃䈮ኻ䈜䉎䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈮㑐䈜䉎ᖱႎ䈱ឭଏ䇮ஜᐽᢎቶ䈭䈬䈮䈍䈔䉎䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᵴ↪䇮࿾ၞ䊗䊤䊮䊁䉞䉝䈱䈢䉄䈱⻠⠌ળ䈱㐿௅䇮㘶㘩ᐫ䉇⛎㘩ᣉ⸳䈪䈱䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᵴ↪╬䈱ข⚵䉕ᡰេ䈚䈩䈇䈒䈖䈫䈏ᔅⷐ䈪䈅䉎䇯䈘䉌䈮䇮30
䌾60ᱦઍ䈱↵ᕈ䈱⢈ḩ⠪䇮නり⠪䇮ሶ⢒䈩䉕ᜂ䈉਎ઍ䈮ὶὐ䉕⛉䈦䈢ข⚵䈫䈚䈩䇮⡯ၞ䉇ቇᩞ䈭䈬䈫ㅪ៤䈚䈢ข⚵䈏ᦼᓙ䈘䉏䉎䇯䋨䋲䋩䉴䊷䊌䊷䊙䊷䉬䉾䊃䇮䉮䊮䊎䊆䉣䊮䉴䉴䊃䉝䇮ᄖ㘩╬䈮䈍䈔䉎ᵴ↪ᴺ䂾ᄙ䈒䈱ੱ䇱䈏㘩ຠ䉕ㆬᛯ䊶⾼౉䈜䉎႐䈪䈅䉎䉴䊷䊌䊷䊙䊷䉬䉾䊃䇮䉮䊮䊎䊆䉣䊮䉴䉴䊃䉝䇮ᄖ㘩䈫䈇䈦䈢ᐫ⥩䈲䇮᏷ᐢ䈇ᐕ㦂䈱ੱ䇱䈏ᣣᏱ⊛䈮೑↪䈚䈩䈇䉎䈖䈫䈎䉌䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᵴ↪䈮䈧䈇䈩䇮᭽䇱䈭ᖱႎឭଏ䉇᥉෸ᵴേ䈏ⴕ䉒䉏䉎䈖䈫䈏ᦼᓙ䈘䉏䉎䇯䂾䉰䊷䊎䊮䉫ᢙ䈱⇣䈭䉎䉰䉟䉵䈱ᢱℂ䉕ㆬᛯ䈪䈐䉎䉋䈉䈮䈜䉎䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈫૬䈞䈩✚䉣䊈䊦䉩䊷㊂䇮⢽⾰෸䈶㘩Ⴎ⋧ᒰ㊂╬䈮㑐䈜䉎ᩕ㙃ᚑಽ⴫␜䉕䈜䉎╬䇮䈖䉏䉁䈪䈱ข⚵䈫䉕૬䈞䈢ዷ㐿䉕ⴕ䈦䈩䈇䈒䈖䈫䈏ᦸ䉁䉏䉎䇯䈖䈱䉋䈉䈭ข⚵䈏䇮㘩䈼ㆊ䈑䇮㘩䈼ᱷ䈚䇮䈵䈇䈩䈲䉯䊚䈱Ⴧട䈭䈬ⅣႺ໧㗴䉕ᗧ⼂䈚䈧䈧䇮ᩕ㙃䊋䊤䊮䉴䈱䈫䉏䈢ㆡ㊂䋨⣻
౎ಽ⋡䋩䈱㘩↢ᵴ䉕ଦ䈜䈖䈫䈮䉅䈧䈭䈏䈦䈩䈇䈒䈖䈫䈏ᦼᓙ䈘䉏䉎䇯䂾䈘䉌䈮䇮㘩ຠ⵾ㅧᬺ䈏㘩ຠ䈱൮ⵝ䈮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱䉟䊤䉴䊃䈭䈬䉕⸥タ䈜䉎䈖䈫䈮䉋䉍䇮䈠䈱໡ຠ䈏䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ᢱℂ඙ಽ䈱䈬䈱ㇱಽ䈮⹥ᒰ䈚䇮䋱ᣣ㊂䈱䈍䈍䉋䈠䈬䈱⒟ᐲ䈮䈭䉎䈱䈎䈱ᖱႎ䉕␜䈜䈖䈫䈲䇮㘈ቴ䈱໡ຠㆬᛯ䈱৻ഥ䈫䈭䉎䇯

ȝ 58 ȝ

䋨䋳䋩▤ℂᩕ㙃჻╬ኾ㐷ኅ䈮䉋䉎ᵴ↪ᴺ䌾ᩕ㙃ᜰዉ䊶ᩕ㙃ᢎ⢒䈱႐㕙䈮䈍䈔䉎ᵴ↪䈱ᣇะᕈ䂾▤ℂᩕ㙃჻╬䈱ኾ㐷ኅ䈲䇮䈖䈱䉋䈉䈭䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹㐿⊒䈱䈰䉌䈇䉇․ᓽ䉕චಽ䈮ℂ⸃䈚䈢਄䈪䇮ᩕ㙃ᜰዉ䊶ᩕ㙃ᢎ⢒䈱ኻ⽎䈪䈅䉎୘ੱ䉇㓸࿅䈱ஜᐽ⁁ᘒ䊶ᩕ㙃⁁ᘒ䇮㘩⍮⼂䉇㘩ᗧ⼂䇮ቇ⠌䈻䈱Ḱ஻⁁ᘒ䇮㘩ⴕേ䊶䊤䉟䊐䉴䉺䉟䊦╬䉕ㆡಾ䈮ᛠី䊶⹏ଔ䈚䇮ኻ⽎䈱․ᕈ䈮ኻᔕ䈚䈢ᵴ↪䊶ዷ㐿䉕࿑䉌䈰䈳䈭䉌䈭䈇䇯䂾ᣣᧄᩕ㙃჻ળ╬䈱දജ䉕ᓧ䈩䇮䈖䉏䉌䈱䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱䈰䉌䈇䉇․ᓽ䉕▤ℂᩕ㙃჻╬䈮ኻ䈚䈩චಽ๟⍮䈚䇮ኾ㐷ኅ䉕੺䈚䈢䉋䉍䈐䉄⚦䈎䈭ᖱႎឭଏ䈫᥉෸໪⊒䉕࿑䉎ᔅⷐ䈏䈅䉎䇯
䂾䈖䈱䉋䈉䈭ข⚵䉕ⴕ䈦䈩䈇䈒䈢䉄䈮䈲䇮▤ℂᩕ㙃჻䊶ᩕ㙃჻䇮⺞ℂᏧ╬䈱㙃ᚑᣉ⸳䈮䈍䈇䈩䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䉕૶䈦䈢ᩕ㙃ᢎ⢒䉇㘩੐⸘↹䊶⛎㘩⚻༡▤ℂ╬䈱ౕ૕⊛䈭ᢎ⢒ౝኈ䈏⋓䉍ㄟ䉁䉏䈩䈇䉎䈖䈫䈏䇮೨ឭ䈫䈭䉎䇯䋨䋴䋩࿾ၞ䈮䈍䈔䉎㘩↢ᵴᡷༀ䊗䊤䊮䊁䉞䉝ᵴേ䈱ข⚵╬䈮䉋䉎ᵴ↪ᴺ
䂾࿾ၞ䈮䈍䈇䈩䈲䇮㘩↢ᵴᡷༀ䈱䈢䉄䈱⨲䈱ᩮ⊛䈭ᵴേ䉕㐳ᐕታᣉ䈚䈩䈐䈩䈇䉎㘩↢ᵴᡷༀផㅴຬ䈱ઁ䇮㘩ᢥൻ䈱⛮ᛚ䉕⋡⊛䈫䈚䈩ᵴേ䈚䈩䈇䉎⠪䇮㘩⢒䈫䈚䈩䈱ㄘᬺ૕㛎䉕ផㅴ䈜䉎ㄘᬺ㑐ଥ⠪╬䇮᭽䇱䈭㘩⢒䈱ข⚵䈏ዷ㐿䈘䉏䈩䈇䉎䇯䂾䈖䈉䈚䈢⠪䈏䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱ౝኈ䉕ℂ⸃䈚ᵴ↪䈚䉇䈜䈇䉋䈉䈮䇮ⴕ᡽䊧䊔䊦䈪䈱⻠⠌ળ䈱㐿௅䇮㑐ଥ⠪䈱ቇ⠌䈱႐䈻䈱ᖱႎឭଏ╬䉕Ⓧᭂ⊛䈮ផㅴ䈜䉎ᔅⷐ䈏䈅䉎䇯䂾ᶖ⾌⠪࿅૕䈮䈍䈇䈩䈲䇮䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱䉟䊤䉴䊃෸䈶䈠䈱ᵴ↪ᣇᴺ䈮䈧䈇䈩৻⥸ᶖ⾌⠪䈮๟⍮䈚䈩䈇䈒䈢䉄䇮㑐ㅪ䈜䉎࿅૕ਥ௅䈱⻠ᐳ䇮ീᒝળ䇮࿅૕᭴ᚑຬ䈻䈱વ㆐䇮䊌䊮䊐䊧䉾䊃䈱㈩Ꮣ╬᭽䇱䈭ᯏળ䉕ㅢ䈛᥉෸䈮ദ䉄䇮৻ੱ䈪䉅ᄙ䈒䈱ᶖ⾌⠪䈏㑐ᔃ䉕ᜬ䈤䇮ᵴ↪䈪䈐䉎䉋䈉䈮䈚䈩䈇䈒ᔅⷐ䈏䈅䉎䇯䈭䈍䇮੹ᓟ䇮㘩⢒ၮᧄᴺ䈮ၮ䈨䈒㘩⢒ផㅴၮᧄ⸘↹䈏╷ቯ䈘䉏䉎䈖䈫䈫䈭䈦䈩䈍䉍䇮䈖䈱ਛ䈪ฦಽ㊁䈮䈍䈔䉎䇸㘩੐䊋䊤䊮䉴䉧䉟䊄䇹䈱᥉෸ᵴ↪䈮䈧䈇䈩䈱૏⟎ઃ䈔䈏䈭䈘䉏䇮䉋䉍৻ጀ䈱✚ว⊛䈎䈧⸘↹⊛䈭ផㅴ䈏䈭䈘䉏䉎䈖䈫䈫䈮䈭䉎䈪䈅䉐䈉䇯ȝ 59 ȝ

áâNã

ä?´Lßx9:KàEFGH㧝㘩੐៨ขၮḰߣߪ㘩੐៨ขၮḰߪ‫ޔ‬ஜᐽߥ୘ੱ߹ߚߪv<ࠍኻ⽎ߣߒߡ‫ޔ‬࿖1ߩஜᐽߩóô2Ⴧㅴ‫࡯ࠡ࡞ࡀࠛޔ‬2ᩕ㙃⚛ᰳ+∝ߩ ‫↢ޔ‬ᵴ⠌ᘠ∛ߩ ‫ޔ‬no៨ขߦࠃࠆஜᐽ㓚ኂߩ ࠍ⋡⊛ߣߒ‫࡯ࠡ࡞ࡀࠛޔ‬෸߮ฦᩕ㙃⚛ߩ៨ข㊂ߩၮḰࠍ␜ߔ߽ߩߢ޽ࠆ‫ޕ‬Ý↪ᦼ[ߪ‫ޔ‬2005 ᐕ㧠᦬㧔ᐔᚑ '7 ᐕ㧕߆ࠄ 20'0 ᐕ,᦬㧔ᐔᚑ 2' ᐕ㧕߹ߢߩ㧡ᐕ[ߢ޽ࠆ‫ޕ‬㧞⸳ቯᜰߦߟ޿ߡ
㘩੐៨ขၮḰߣߒߡ‫ޔ‬ਅåߩߣ߅ࠅ‫ߪߡ޿ߟߦ࡯ࠡ࡞ࡀࠛޔ‬㧝⒳#‫ޔ‬ᩕ㙃⚛ߦߟ޿ߡߪ㧡⒳#ߩᜰ߇⸳ቯߐࠇߡ޿ࠆ‫ޕ‬-ࠛࡀ࡞ࠡ࡯.
/ ផቯࠛࡀ࡞ࠡ࡯ᔅⷐ㊂ࠛࡀ࡞ࠡ࡯ߩਇ⿷ߩ࡝ࠬࠢ෸߮noߩ࡝ࠬࠢߩ0⠪߇߽nߐߊߥࠆ៨ข㊂-ᩕ㙃⚛.
ஜᐽߩóô2Ⴧㅴߣᰳ+∝ ߩߚ߼ߦ‫ޔ‬‫ޟ‬ផቯᐔᔅⷐ㊂‫ޟߣޠ‬ផᅑ㊂‫ߩޠ‬㧞ߟߩ1ࠍ⸳ቯߒߚ‫ߩߎޔߒ߆ߒޕ‬㧞ᜰࠍ⸳ቯߔࠆߎߣ߇ߢ߈ߥ޿ᩕ㙃⚛ߦߟ޿ߡߪ‫ޔ‬‫⋡ޟ‬቟㊂‫ޠ‬ࠍ⸳ቯߒߚ‫↢ޔߚ߹ޕ‬ᵴ⠌ᘠ∛ߩ㧝< ࠍ¼ࠄ⋡⊛ߣߒߡ㘩੐៨ขၮḰࠍ⸳ቯߔࠆᔅ
ⷐߩ޽ࠆᩕ㙃⚛ߦߟ޿ߡߪ‫⋡ޟޔ‬㊂‫⸳ࠍޠ‬ቯߒߚ‫ޕ‬no៨ขߦࠃࠆஜᐽ㓚ኂࠍ£ߦ
2ߎߣࠍ⋡⊛ߣߒߡ‫ޟ‬਄å㊂‫⸳ࠍޠ‬ቯߒߚ‫ޕ‬/ ផቯᐔᔅⷐ㊂>ቯߩv<ࠍኻ⽎ߣߒߡ3ቯߐࠇߚᔅⷐ㊂߆ࠄ‫ޔ‬ᕈ2ᐕDwx#ߦᣣੱߩᔅⷐ㊂ߩ
ᐔ1ࠍផቯߒߚ‫ޕ‬R4ᕈ2ᐕDwxߦ/ߔࠆੱ‫ ߩޘ‬508߇ᔅⷐ㊂ࠍḩߚߔߣផቯߐࠇ
ࠆ㧝ᣣߩ៨ข㊂ߢ޽ࠆ‫ޕ‬/ ផᅑ㊂޽ࠆᕈ2ᐕDwx#ߦ/ߔࠆੱ‫ߣߩޘ‬Ïߤ㧔97ß988㧕߇㧝ᣣߩᔅⷐ㊂ࠍḩߚߔߣផቯߐࠇࠆ㧝ᣣߩ៨ข㊂ߢ޽ࠆ‫ޕ‬5ߣߒߡ‫ޟ‬ផቯᐔᔅⷐ㊂(Ḱ`}ߩ㧞㧔㧞6
7㧕
‫ޕߚߒߣޠ‬/ ⋡቟㊂ផቯᐔᔅⷐ㊂2ផᅑ㊂ࠍ¢ቯߔࠆߩߦචಽߥ⑼ቇ⊛ᩮ᜚߇8ࠄࠇߥ޿วߦ‫ࠆ޽ޔ‬
ᕈ2ᐕDwx#ߦ/ߔࠆੱ‫⦟ޔ߇ޘ‬øߥᩕ㙃⁁&ࠍóôߔࠆߩߦචಽߥ㊂ߢ޽ࠆ‫ޕ‬/ ⋡㊂↢ᵴ⠌ᘠ∛ߩ৻< ߩߚ߼ߦ⃻kߩᣣੱ߇Rߩ⋡ߣߔߴ߈៨ข㊂㧔߹ߚߪ‫ޔ‬
ߘߩ9:㧕ߢ޽ࠆ‫ޕ‬/ ਄å㊂޽ࠆᕈ2ᐕDwx#ߦ/ߔࠆߣÏߤߔߴߡߩੱ‫ޔ߇ޘ‬no៨ขߦࠃࠆஜᐽ㓚ኂࠍ⿠ߎߔߎߣߩߥ޿ᩕ㙃⚛៨ข㊂ߩᄢåߩ㊂ߢ޽ࠆ‫ޕ‬ȝ 5: ȝ

㧟╷ቯᩕ㙃⚛╬ߦߟ޿ߡ╷ቯߐࠇߚᩕ㙃⚛╬ߪ‫ޔ‬ਅ⸥ߩߣ߅ࠅߢ޽ࠆ‫ޕ‬ࠛࡀ࡞ࠡ࡯‫ޔ⾰ߊ߬ࠎߚޔ‬⢽⾰㧔✚⢽⾰‫ޔ‬㘻๺⢽⢌㉄‫ޔ‬n-6 ♽⢽⢌㉄‫ޔ‬n-3 ♽⢽⢌㉄‫ޔ‬ࠦ࡟ࠬ࠹ࡠ࡯࡞㧕‫ޔ‬὇᳓ൻ‛‫ޔ‬㘩‛❫⛽‫ޔ‬᳓ṁᕈࡆ࠲ࡒࡦ㧦ࡆ࠲ࡒࡦ㧮㧝‫ࡦࡒ࠲ࡆޔ‬㧮㧞‫ࡦࡒ࠲ࡆޔࡦࠪࠕࠗ࠽ޔ‬㧮㧢‫ޔ㉄⪲ޔ‬ࡆ࠲ࡒࡦ㧮㧝㧞‫ࡦࡒ࠲ࡆޔ㉄ࡦ࠹࠻ࡦࡄޔࡦ࠴ࠝࡆޔ‬㧯⢽ṁᕈࡆ࠲ࡒࡦ㧦ࡆ࠲ࡒࡦ㧭‫ࡦࡒ࠲ࡆޔ‬㧱‫ࡦࡒ࠲ࡆޔ‬㧰‫ࡦࡒ࠲ࡆޔ‬㧷ࡒࡀ࡜࡞㧦ࡑࠣࡀࠪ࠙ࡓ‫ޔࡦ࡝ޔࡓ࠙ࠪ࡞ࠞޔ‬㋕ᓸ㊂ర⚛㧦ࠢࡠࡓ‫ޔࡦࠟࡦࡑޔࡦ࠺ࡉ࡝ࡕޔ‬㌃‫ޔ‬੝㋦‫⚛࡛࠙ޔࡦ࡟࠮ޔ‬㔚⸃⾰㧦࠽࠻࡝࠙ࡓ‫ࡓ࠙࡝ࠞޔ‬㧠ၮᧄ⊛ߥᵴ↪ᣇᴺߦߟ޿ߡ㘩੐៨ขၮḰߩ↪ㅜߪ‫ޔ‬‫ޟ‬៨ข㊂ࠍ⹏ଔ㧔ࠕ࠮ࠬࡔࡦ࠻㧕ߔࠆߚ߼‫ޠ‬㧔⴫㧝㧕ߣ‫ޟޔ‬ᩕ㙃⸘↹㧔ࡊ࡜ࡦ࠾ࡦࠣ㧦ᩕ㙃ᜰዉ⸘↹‫⛎ޔ‬㘩⸘↹╬ࠍ฽߻㧕ࠍ┙᩺ߔࠆߚ߼‫ޠ‬㧔⴫㧞㧕ߩ㧞ߟߦᄢ೎ߐࠇࠆ‫ޕ‬㧡૶↪ߦ޽ߚߞߡߩ⇐ᗧὐߦߟ޿ߡ
㧝㧕㘩੐៨ขၮḰࠍㆡ↪ߔࠆኻ⽎ߪ‫ޔ‬ਥߦஜᐽߥ୘ੱ‫ޔߦ߮ࠄߥޔ‬ஜᐽੱࠍਛᔃߣߒߡ᭴ᚑߐࠇߡ޿ࠆ㓸࿅ߣߔࠆ‫ޔߒߛߚޕ‬૗ࠄ߆ߩシᐲߥ∔ᖚ㧔଀߃߫‫ޔ‬㜞ⴊ࿶‫ޔ‬㜞⢽ⴊ∝‫ޔ‬㜞ⴊ♧㧕ࠍ᦭ߒߡ޿ߡ߽ᣣᏱ↢ᵴࠍ༡ߺ‫ޔ‬ᒰ⹥∔ᖚߦ․᦭ߩ㘩੐ᜰዉ‫ޔ‬㘩੐≮ᴺ‫ޔ‬㘩੐೙㒢߇ㆡ↪ߐࠇߚࠅ‫ޔ‬ផᅑߐࠇߚࠅߒߡ޿ߥ޿⠪ࠍ฽߻ߎߣߣߔࠆ‫ޕ‬㧞㧕㘩੐៨ขၮḰߣߒߡ↪޿ࠄࠇߡ޿ࠆන૏ߪ‫ޟ‬㧝ᣣᒰߚࠅ‫ޔ߇ࠆ޽ߢޠ‬ߎࠇߪ⠌ᘠ⊛ߥ៨ข㊂ࠍ㧝ᣣᒰߚࠅߦ឵▚ߒߚ߽ߩߢ޽ࠆ‫ޕ‬㧟㧕ᩕ㙃ᜰዉ‫⛎ޔ‬㘩⸘↹╬ߦᵴ↪ߔࠆ㓙‫ޔ‬ၮᧄ⊛ߦߪ‫ޔ࡯ࠡ࡞ࡀࠛޔ‬⢽⾰‫ޔ‬ߚࠎ߬ߊ⾰‫ࡦࡒ࠲ࡆޔ‬㧭‫ࡦࡒ࠲ࡆޔ‬㧮㧝‫ࡦࡒ࠲ࡆޔ‬㧮㧞‫ࡦࡒ࠲ࡆޔ‬㧯‫ࠞޔ‬࡞ࠪ࠙ࡓ‫ޔ‬㋕‫ࡓ࠙࡝࠻࠽ޔ‬㧔㘩Ⴎ㧕‫ޔ‬㘩‛❫⛽ߦߟ޿ߡ⠨ᘦߔࠆߩ߇ᦸ߹
ߒ޿‫ޕ‬㧠㧕ផᅑ㊂‫⋡ޔ‬቟㊂‫⋡ޔ‬ᮡ㊂ߦߟ޿ߡߪ‫ޔ‬ᣣᏱߩ㘩↢ᵴߦ߅޿ߡ‫ޔ‬ㅢᏱߩ㘩ຠߦࠃߞߡࡃ࡜ࡦࠬߩߣࠇߚ㘩੐ࠍߣࠆߎߣߦࠃࠅḩߚߔߎߣ߇ၮᧄ
ߢ޽ࠆ‫ޕ‬
㧡㧕਄㒢㊂ߦߟ޿ߡߪ‫ޔ‬ㅢᏱߩ㘩ຠߦࠃࠆ㘩੐ߢ৻ᤨ⊛ߦߎߩ㊂ࠍ⿥߃ߚ߆ࠄߣ޿ߞߡஜᐽ㓚ኂ߇߽ߚࠄߐࠇࠆ߽ߩߢߪߥ޿‫ޕ‬

ȝ 61 ȝ

ȝ 62 ȝȝ 63 ȝáâNã

>ä

123456789:;<=>?@ABCDEF
GHI*JKLMNOP*QLRSDTUVWX*+,ᐔᚑ㧝㧞ᐕ㧝㧞᦬㧞;ᣣఽ\´㧣㧞<2ஜකH↢⊒´㧣;<
ฦ=>?@2ABë2>#\ሶ଻ஜÍ▤W㧔+㧕 Cᩕ㙃Í▤W㧔+㧕 D)↢,ఽEFG+\ሶ଻ஜe C଻ஜක≮+HI଻ஜ2ஜᐽჇㅴᩕ㙃e↢ᵴ⠌ᘠ∛ኻ╷. ㅢ⍮ㄭᐕ‫ޔ‬EF⇣Ᏹߩߢ‫ޔ‬4ಽ56ߥߤߩ␹⚻▤㐽㎮㓚ኂߦߟ޿ߡ‫ޔ‬GHࠍ ߣߒߚ⻉ᄖ࿖ߦ
ࠃࠅ3ቇ⎇ⓥ߇ⴕࠊࠇ‫ޔ‬ᅧᆼߥᐕDߩᅚᕈ╬߳ߩjklIߩ৻⒳ߢ޽ࠆ⪲㉄ߩ៨ข߇ߘߩ
⊒∝ߩ࡝ࠬࠢࠍૐᷫߔࠆߎߣ߇ႎ๔ߐࠇߡ޿ࠆ‫ޔߚ߹ޕ‬GH⻉࿖ߦ߅޿ߡߪᅧᆼߥᐕDߩᅚᕈߦኻߒߡ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫߩߚ߼‫㉄⪲ޔ‬៨ข㊂ࠍჇടߐߖࠆߴ߈ߢ޽ࠆߣ
J๔ߒߡ޿ࠆ‫ޕ‬৻ᣇ‫ޔ‬K߇࿖ߦ߅޿ߡߪ‫⻉ޔ‬ᄖ࿖ߣLߒߡ‫ޔ‬4ಽ56ߩ⊒∝3߇ૐ޿ߎߣ╬ߩÌí߆ࠄ‫ߎޔ‬
ࠇ߹ߢ !ߔࠆ3ቇ⺞ᩏߪߣÏߤⴕࠊࠇߡ߅ࠄ‫▤⚻␹ޔߚ߹ޔ‬㐽㎮㓚ኂߩ࡝ࠬࠢૐᷫߩߚ߼
ߩ⪲㉄ߩM↪ߦߟ޿ߡ>Nߩኻᔕߪⴕࠊࠇߡߎߥ߆ߞߚ‫ޕ‬ߒ߆ߒߥ߇ࠄ‫ޔ‬ᐔᚑ㧝㧝ᐕߦႎ๔ߐࠇߚ␹⚻▤㐽㎮㓚ኂߩ⊒∝3߇ૐ޿࿖OWߦ߅ߌࠆ⎇ⓥߦ߅޿ߡ߽‫ߩ㉄⪲ޔ‬៨ข߇␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢࠍૐᷫߐߖࠆߣߩ⺞ᩏ߇␜ߐࠇߚߎ
ߣ‫ޔ‬ᐔᚑ㧝㧝ᐕߩ)↢⑼ቇ⎇ⓥߦ߅޿ߡ‫ޔ‬K߇࿖ߩ4ಽ56ߩ⊒∝3߇Ⴧട¯ะߦ޽ࠆߎߣ߇
ႎ๔ߐࠇߚߎߣ‫}ߦࠄߐޔ‬ᓟ‫ޔ‬㘩↢ᵴߩᄙPൻߦࠃࠅ‫ޔ‬㘩â៨ขߩ୘ੱᩰ}߇ᄢ߈ߊߥࠅ‫㉄⪲ޔ‬៨ข߇ਇචಽߥ⠪߇Ⴧടߔࠆ ᔨ߽޽ࠆߎߣ╬߆ࠄ‫ޔ‬K߇࿖ߩ⃻⁁ࠍ〯߹߃ߚ⪲㉄ߩ៨ขߦࠃࠆ
␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩᕈߦߟ޿ߡᬌ⸛ߔࠆᔅⷐᕈ߇↢ߓߡ߈ߚ‫ޕ‬ߎߩߚ߼)↢,ఽEFG+\ሶ଻ஜeߦ߅޿ߡߪ‫ ޔ‬Áߔࠆ¼½F߆ࠄߥࠆᬌ⸛ળࠍ⸳⟎ߒߚߣߎࠈߢ޽ࠅ‫ޔ‬ᐕ㧝㧞᦬ߦtᬌ⸛ળߦ߅޿ߡ‫ޔ‬#Q‫▤⚻␹ޟ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߦ ߔࠆႎ๔Ë‫ޕࠆ޽ߢࠈߎߣߚࠇࠄ߼ߣ߹ࠅߣ߇ޠ‬)↢,ߢߪ‫ޔ‬ႎ๔Ëࠍ߽ߣߦᬌ⸛ߒߚ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝߇⪲㉄ߩ៨ขਇ⿷ߩߺ߆
ࠄ↢ߓࠆ߽ߩߢߪߥߊ‫㉄⪲ޔ‬៨ขߪ␹⚻▤㐽㎮㓚ኂߩ⊒∝ߦ ߔࠆ৻Oሶߢ޽ࠆߣ޿߁u^߆ࠄ‫ޔ‬K߇࿖ߦ߅޿ߡ⪲㉄ߩ៨ขߦࠃࠅ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢ߇ૐᷫߔࠆ⏕ታߥR᜚߇޽ࠆߣ
ߪ޿޿߇ߚ޿߽ߩߩ‫ߩ㉄⪲ޔ‬៨ขߦࠃࠅ৻ቯߩ⊒∝࡝ࠬࠢߩૐᷫ߇ߥߐࠇࠆ߽ߩߣ⠨߃ࠄࠇࠆߎ
ߣ߆ࠄ‫ߢ^⃻ޔ‬8ࠄࠇߡ޿ࠆᅧᆼߥᐕDߩᅚᕈ╬ߩ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ࡝ࠬࠢૐᷫߦ ߔࠆ⑼ቇ⊛ߥ⍮⷗ߦߟ޿ߡᱜ⏕ߦsႎឭtࠍⴕ߁ߎߣ߇ᔅⷐߣ§ߒ‫ޔ‬Rߩ[‫ޔ‬#S‫▤⚻␹ޟ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߩᅧᆼߥᐕDߩᅚᕈ╬ߦኻߔࠆ⪲㉄ߩ៨ขߦÁࠆsႎឭtⷐT‫ߦޠ‬ၮߠߊᣇ╷ࠍ଻ஜක≮ Á⠪╬ࠍㅢߓߡUߊ৻ߦ ⍮ߔࠆߎߣߣߒߚ‫ޕ‬ߟ޿ߡߪ‫ޔ‬ᅧᆼߥᐕDߩᅚᕈ╬ߩGࠄߩ§ߦၮߠ߈␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫ
߇ផㅴߐࠇࠆࠃ߁‫ޔ‬#SⷐTߦၮߠߊ‫ޔ‬ᅧᆼߥᐕDߩᅚᕈ╬ߦኻߔࠆㆡಾߥsႎឭtߦߟ޿ߡ▤ౝëV‫଻ޔ‬ஜක≮ߦÁࠆ Á<૕╬߳ߩ ⍮ᣇࠃࠈߒߊ߅W޿ߔࠆ‫ޕ‬ߥ߅‫ࠆߌ߅ߦ^⃻ޔ‬K߇࿖ߩ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩrߦߟ޿ߡ~⏕ߥ3ቇ⊛ᩮ᜚߇⏕cߒߡ޿ߥ޿ߎߣ߆ࠄ‫↢)ޔ‬,ߦ߅޿ߡߪ‫ޔ‬਄&ߩᣇ╷ߩ ⍮ߣߖߡ‫}ޔ‬ᓟ‫ޔ‬K߇࿖
ߦ߅ߌࠆ3ቇ⎇ⓥߩផㅴ߿⪲㉄ߩ៨ข⁁ᴫ‫ߩ㉄⪲ޔ‬M↪r3‫㉄⪲ޔ‬៨ขߣ␹⚻▤㐽㎮㓚ኂߩ !
ᕈ╬ߩ⺞ᩏ⎇ⓥࠍⴕ޿‫ߚ߃߹〯ࠍߩߘޔ‬Xߥࠆᣇ╷ߩᬌ⸛ࠍⴕ߁ߎߣߣߒߡ޿ࠆ‫ޕ‬
Yߦߟ޿ߡߪ‫ޔ‬㧔Z㧕ᣣකAળ‫ޔ‬㧔Z㧕ᣣ↥⑼ᇚੱ⑼ቇળ‫ޔ‬㧔Z㧕ᣣ\ᕈ଻[↥ᇚੱ⑼කળ‫ޔ‬㧔Z㧕ᣣnఽ⑼ቇળ‫ޔ‬㧔Z㧕ᣣnఽ଻ஜ\ળ‫ޔ‬㧔Z㧕ᣣnఽ⑼කળ‫ޔ‬㧔Z㧕ᣣ]^Aળ‫ޔ‬㧔Z㧕ᣣ_[\ળ‫ޔ‬㧔Z㧕ᣣ:↥ᇚળ‫ޔ‬㧔Z㧕ᣣᩕ㙃`ળߦኻߒߡ߽‫ߩߘޔ‬ળ©ߦኻߔࠆ ⍮ࠍ࿑ࠆࠃ߁abߒߡ޿ࠆߎߣࠍ‫ޔ‬ᔨߩߚ߼cߒQ߃ࠆ‫ޕ‬

ȝ 64 ȝ

㧔#S㧕␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߩᅧᆼߥ
ᐕDߩᅚᕈ╬ߦኻߔࠆ⪲㉄ߩ៨ขߦߔࠆsႎឭtⷐT´㧝 ⋡⊛ⷐTߪ‫଻ޔ‬ஜක≮ Á⠪߇‫ޔ‬ᅧᆼߥᐕDߩᅚᕈ‫ޔ‬ᅧᆼࠍ®%ߒߡ޿ࠆᅚᕈ෸߮ᅧ↥ᇚ╬ߦ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߦ⪲㉄ߩ៨ขߦÁࠆㆡಾߥsႎឭtࠍታdߒ‫ߩੱޔ‬§ߦၮߠ޿ߚㆡಾߥㆬᛯ߇ߣߥࠆߎߣࠍ⋡⊛ߔࠆ‫ޕ‬´㧞 ⪲㉄෸߮␹⚻▤㐽㎮㓚ኂߩ৻⊛ߥsႎߦߟ޿ߡ㧝 ⪲㉄ߦߟ޿ߡ
⪲㉄ߪjklIߩ/0ᕈjklߢ1ߦ_↪ߔࠆ‫ޕ‬ਇ⿷ߔࠆߣ2߇↢ߓࠆߎߣ߇޽
ࠆ߇noߥวߦ⊒∝ߔࠆ{ߪ>ߦ⍮ࠄࠇߡ޿ߥ޿‫ޕ‬૕ౝߩëᕈߪૐߊ‫ޔ‬Úᣣ៨ขߔࠆߎ
ߣ߇ᔅⷐߢ޽ࠆ‫ޕ‬⪲㉄ߪ
㊁Ò‫ޔ‬âߥߤߩㄭߥ㘩ຠߦᄙߊ ߹ࠇࠆ‫ޕ‬㧞 ␹⚻▤㐽㎮㓚ኂߦߟ޿ߡ
␹⚻▤㐽㎮㓚ኂߪ‫ޔ‬Íߦ‫ޔ‬EFᕈߩÂ߿56ߩeวਇߩߎߣࠍ޿߁‫ޕ‬56ߩeวਇࠍ4
ಽ56ߣ޿޿‫ޔߦ߈ߣߚࠇ߹↢ޔ‬fWߩgߦ\]߇޽ࠆ߽ߩ߇߽ᄙ޿‫ޔߚ߹ޕ‬Âߦ\]ߩ
޽ࠆÂ]߿Âߩ⊒x߇ߢ߈ߥ޿ÆÂ∝ߥߤ߇޽ࠆ‫ޕ‬K߇࿖ߦ߅޿ߡ␹⚻▤㐽㎮㓚ኂߩ⊒∝3ߪ‫ޔ‬㧝hh;ᐕߢ಴↥㧔^↥ࠍ ߻㧕㧝_ੱኻij‫߁ޔ‬Þ4ಽ56ߪ,㧞`ߣߐࠇߡ޿ࠆ‫ޕ‬´, K߇࿖ߦ߅޿ߡ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫࠍⴕ߁ᔅⷐᕈߦߟ޿ߡ
K߇࿖ߦ߅ߌࠆ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩrߦߟ޿ߡߪ‫ߢ^⃻ޔ‬ߪ‫ߥ⏕~ޔ‬3ቇ⊛ᩮ᜚߇⏕cߐࠇߡ޿ࠆkߢߪߥ޿߇‫ޔ‬¤ਅߩÌí߆ࠄ‫ޔ‬K߇࿖ߦ߅޿ߡ߽‫⻉ޔ‬
ᄖ࿖ߣtPߦ‫㉄⪲ޔ‬៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫߩߚ߼ߩᣇ╷ࠍlߓࠆߎߣ߇
ㆡಾߢ޽ࠆ‫ޕ‬ ⻉ᄖ࿖ߢⴕࠊࠇߚPyߩ޿ࠊ8ࠆᩕ㙃9:㘩ຠࠍ↪޿ߚ3ቇ⎇ⓥߩߦ߅޿ߡ‫␹߇㉄⪲ޔ‬⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢࠍૐᷫߔࠆߣ޿߁ ৻mߒߚᚑn߇8ࠄࠇߡ޿ࠆߎߣ‫ޕ‬⪲㉄ߩઍ⻢â߇␹⚻▤㐽㎮㓚ኂߩ⊒∝¾oߦ ´ߔࠆߣ޿߁කቇ⊛ߥᩮ᜚߇␜ߐࠇߡ޿ࠆߎ
ߣ‫ޕ‬ GH⻉࿖ࠍ ߦ㧝hhjᐕઍࠃࠅ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫኻ╷߇ታdߐࠇߡ޿ࠆߎߣ‫ޕ‬ࠛ 㧝h;jᐕઍ¤)ߩ಴↢೨¦§ᛛⴚߩะ਄ߦp߁ੱqᅧᆼrߥߤߩᓇ㗀ߦࠃࠅ‫ߩޔ‬ኻ╷ߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫߩrߪᔅߒ߽~⏕ߢߪߥ޿߇‫ޔ‬ㄭߩH࿖æࠬ  ¾ߩs࡯k߆ࠄ⪲㉄៨ขߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩr߇␜tߐࠇߡ޿ࠆߎߣ‫ޕ‬ ࿖OWߢߩu౉⎇ⓥࠍ ߻ㄭߩ⎇ⓥߩᚑࠍ߽ߣߦvwࠍxߺߚߣߎࠈ‫ޔ‬K߇࿖ߦ߅޿
ߡ߽⪲㉄៨ขߦࠃࠅ␹⚻▤㐽㎮㓚ኂߩ৻ቯߩ⊒∝࡝ࠬࠢߩૐᷫ߇ផቯߐࠇࠆߎߣ‫ޕ‬ K߇࿖ߦ߅޿ߡ߽‫ޔ‬ㄭᐕ‫ޔ‬4ಽ56ߩ⊒∝߇Ⴧട¯ะߦ޽ࠆߎߣ‫ߚ߹ޔ‬㘩↢ᵴߩᄙPൻߦࠃࠅ‫ޔ‬㘩â៨ขߩ୘ੱᩰ}߇ᄢ߈ߊߥࠅ‫㉄⪲ޔ‬៨ข߇ਇචಽߥ⠪߇Ⴧടߔࠆ ᔨ߽޽ࠆߎߣ‫ޕ‬´㧠 ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߩߚ߼ߩ⪲㉄៨ขߦߟ޿ߡߩsႎߩy⊒2z෸ߦRߚߞ
ߡߩ৻⊛ߥpq੐ߦߟ޿ߡ

ȝ 65 ȝ㧝 ␹⚻▤㐽㎮㓚ኂߩ⊒∝ߪ{વⷐOߥߤࠍ ߼ߚᄙOሶߦࠃࠆPว⊛ߥ߽ߩߢ޽ࠅ‫∝⊒ߩߘޔ‬ߪ⪲㉄៨ขߩߺߦࠃࠅ ߢ߈ࠆ߽ߩߢߪߥߊ‫৻ޔ‬ቯ㊂ߩ⪲㉄ߩ៨ขߦࠃࠅv<ߣߒߡߩ⊒∝ߩ࡝ࠬࠢߩૐᷫ߇ᦼ=ߢ߈ࠆߣ޿߁ᕈᩰߩ߽ߩߢ޽ࠆߎߣࠍ⺑~ߔࠆᔅⷐ߇޽ࠆߎߣ‫ޕ‬>ߦ‫▤⚻␹ߦ|ޔ‬㐽㎮㓚ኂߩఽߩ಴↥|}ߩ޽ࠆ\ⷫߦߟ޿ߡߪ‫ޔ‬nߩਇ቟ࠍ~߆ߥ޿ࠃ߁‫ߩ㉄⪲ߦ∝⊒ߩߘޔ‬៨ข߇´ߒߚᕈߪᔅߒ߽ߊߥ޿ߎߣߥߤߦߟ޿ߡ⺑~ߔࠆߎߣ߇ᔅⷐߢ޽ࠆ‫ޕ‬㧞 ᅧᆼࠍ®%ߒߡ޿ࠆᅚᕈߦኻߒߡ⪲㉄ߩ៨ขߩqߦߟ޿ߡsႎឭtࠍߔࠆวߦߪ‫ޔ‬ᅧᆼߩߺߥࠄᅧᆼ೨߆ࠄߩㆡಾߥஜᐽ▤Ì߇㊀ⷐߢ޽ࠆߎߣࠍ ⍮ߔࠆᔅⷐ߇޽ࠆߎߣ‫ޕ‬ߔߥࠊÞ‫ޔ‬ᅧᆼߩ\૕ߩஜᐽߣ⢝ఽߩஜߥ⊒xߩߚ߼‫ޔ‬ᣣl߆ࠄᄙPߥ㘩ຠࠍ៨ขߔࠆ
ߎߣߦࠃࠅᩕ㙃ࠬࠍ଻ߟߥߤ㘩↢ᵴࠍㆡᱜߦߒ‫ޔ‬ᅧᆼߩö2߇ਇᰳߢ޽ࠆߎ
ߣߥߤࠍ ⍮ߒߡ޿ߊߎߣ߇߼ࠄࠇࠆ‫ޕ‬´㧡 ଻ஜක≮ Á⠪ߩsႎឭtߩ޽ࠅᣇߦߟ޿ߡ
଻ஜක≮ Á⠪ߪ‫㉄⪲ޔ‬៨ขߩsႎឭtࠍⴕ߁ߦRߚࠅ‫ޔ‬ᅧᆼߥᐕDߩᅚᕈ╬ߩੱߩ
§ߦၮߠߊㆡಾߥㆬᛯࠍߣߒ‫ߚ߹ޔ‬nߩਇ቟ࠍ~߆ߥ޿ࠃ߁‫ޔ‬¤ਅߩsႎࠍឭtߔࠆߎߣ‫ޕ‬ ᅧᆼߥᐕDߩᅚᕈߦ ߒߡߪ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢࠍૐᷫߐߖࠆߚ߼ߦߪ‫⪲ޔ‬㉄៨ข߇㊀ⷐߢ޽ࠆߣߣ߽ߦ‫ߩߘ߼ߓߪࠍ㉄⪲ޔ‬7jklߥߤࠍᄙߊ ߻ᩕ㙃ߩࠬ߇
ߣࠇߚ㘩੐߇ᔅⷐߢ޽ࠆߎߣ‫ޕ‬ᅧᆼࠍ®%ߒߡ޿ࠆᅚᕈߦ ߒߡߪ‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢࠍૐᷫߐߖࠆߚ߼ߦ‫ޔ‬ᅧᆼߩ㧝߆᦬¤਄೨߆ࠄᅧᆼ,߆᦬߹ߢߩ[‫ߩߘ߼ߓߪࠍ㉄⪲ޔ‬7ߩjklߥߤࠍᄙߊ ߻ᩕ㙃ߩࠬ߇ߣࠇߚ㘩੐߇ᔅⷐߢ޽ࠆߎߣ‫ޕ‬ߥ߅‫ޔ‬㊁Òࠍ,㧡j`៨ขߔࠆߥߤ‫ޔ‬ฦ㘩ຠߦߟ޿ߡㆡᱜߥ៨ข㊂ࠍ⏕଻ߔࠇê‫ޔ‬㧝ᣣj㧠¡ߩ⪲㉄ߩ៨ข߇ߢ޽ࠆ߇‫ߪߢ⁁⃻ޔ‬㘩੐íîߩ⪲㉄ߩM↪r3߇⏕ቯߒߡ޿ߥ
޿ߎߣ߿ฦ୘ੱߩ㘩↢ᵴߦࠃߞߡߪj㧠¡ߩ⪲㉄៨ข߇ÈÉߥว߽޽ࠆߎߣ‫ޔ‬ㄭߩH࿖╬ߩႎ๔ߢߪ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢૐᷫߦ ߒߡߪ‫ޔ‬㘩੐߆ࠄߩ៨ขߦട߃j㧠¡ߩᩕ㙃9:㘩ຠ߆ࠄߩ⪲㉄៨ข߇J ๔ߐࠇߡ޿ࠆߎߣ╬ߩÌí߆ࠄ‫ޔ‬R‫ޔ‬㘩ຠ߆ࠄߩ⪲㉄៨ขߦട߃ߡ‫ࠊ޿ޔ‬8ࠆᩕ㙃9:㘩ຠ߆ࠄ㧝ᣣj㧠¡ߩ⪲㉄ࠍ៨ขߔࠇê‫▤⚻␹ޔ‬㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢ߇v<ߣߒߡߺߚวߦૐᷫߔࠆߎߣ߇ᦼ=ߢ߈ࠆ>sႎឭtࠍⴕ߁ߎߣ‫ޕ‬ߚߛߒ‫ࠊ޿ޔ‬8ࠆᩕ㙃9:㘩ຠߪߘߩ?@ᕈߥߤ߆ࠄno៨ขߦߟߥ߇ࠅ߿ߔ޿ߎߣ߽〯߹߃‫↪ޔ‬㊂ߩ⪲㉄៨ขߪjklI'2 ᰳ+ߩ¦§ࠍÈÉߦߔࠆߩߢ‫ޔ‬කAߩ▤Ìਅߦ޽ࠆ
วࠍB߈‫㉄⪲ޔ‬៨ข㊂ߪ㧝ᣣRߚࠅ㧝¡ࠍ߃ࠆߴ߈ߢߪߥ޿ߎߣࠍᔅ޽ࠊߖߡsႎឭtߔࠆߣߣ߽ߦ‫ࠊ޿ޔ‬8ࠆᩕ㙃9:㘩ຠࠍM↪ߔࠆߎߣ߇‫ޔ‬ᣣᏱߩ㘩↢ᵴߩ޽ࠅᣇߦኻߔࠆ቟±ߥߦߟߥ߇ࠄߥ޿ࠃ߁ ⍮ߔࠆߎߣ‫ޕ‬ ␹⚻▤㐽㎮㓚ኂߩఽߩᅧᆼߩ޽ࠆᅚᕈߦ ߒߡߪ‫▤⚻␹ޔ‬㐽㎮㓚ኂ⊒∝ߩ࡝ࠬࠢ߇޿ߎ
ߣ߆ࠄ‫ޔ‬ᅧᆼߩ㧝߆᦬¤਄೨߆ࠄᅧᆼ,߆᦬߹ߢߩ[‫ ޔ‬කAߩ▤Ìਅߢߩ⪲㉄ߩ៨ข߇ᔅⷐ
ߢ޽ࠆߎߣ‫ޕ‬ࠛ ᅧᆼࠍ®%ߒߡ޿ࠆᅚᕈߦ ߒߡߪ‫ޔ‬ᅧᆼߩߺߥࠄᅧᆼ೨߆ࠄߩㆡಾߥஜᐽ▤Ì߇㊀ⷐߢ޽ࠆߎߣ‫ࠊߥߔޕ‬Þ‫ޔ‬ᅧᆼߩ\૕ߩஜᐽߣ⢝ఽߩஜߥ⊒xߩߚ߼‫ޔ‬ᣣl߆ࠄᄙPߥ㘩ຠࠍ៨ขߔࠆߎߣߦࠃࠅᩕ㙃ߩࠬࠍ଻ߟߥߤ㘩↢ᵴࠍㆡᱜߦߒ‫ޔ‬ᅧᆼߩö2߇ਇᰳߢ޽ࠆߎߣ‫ޕ‬´i ⪲㉄៨ขߩ㓙ߩq੐ߦߟ޿ߡ㧝 ៨ขᦼߦߟ޿ߡ
EF⇣ᏱߩᄙߊߪᅧᆼYᓟ߆ࠄᅧᆼ㧝j¥¤೨ߦ⊒↢ߒߡ߅ࠅ‫ߦ>ޔ‬N␹⚻Äߪᅧᆼ㧣¥ȝ 66 ȝ

£ḩߦ⊒↢ߔࠆߎߣ߇⍮ࠄࠇߡ޿ࠆ‫ޔ߼ߚߩߎޕ‬ᄙߊߩᅧᇚ߇ᅧᆼߒߡ ߪᅧᆼߩ޿ࠍôߞߡ↥ᇚੱ⑼ߩᄖîߦࠇߡ߆ࠄߩኻᔕߢߪ޿ߣ⠨߃ࠄࠇࠆߎߣ߆ࠄ‫ޔ‬ᄙߊߩ⎇ⓥႎ๔ߣ⻉ᄖ࿖ߩኻᔕߢߪ‫ߩ㉄⪲ޔ‬៨ขᦼࠍwߥߊߣ߽ᅧᆼߩ㧝߆᦬¤਄೨߆ࠄᅧᆼ,߆᦬߹ߢߣߒߡ޿
ࠆ‫৻ޕ‬ᣇ‫ޔ‬ᅧᆼ߇~ߒߡ߆ࠄߩ៨ขߢ߽r߇ߺࠄࠇߚߣߔࠆႎ๔߽޽ࠆ‫ޕ‬㧞 ៨ข㊂෸߮៨ขᣇߦߟ޿ߡ
⪲㉄ߩ៨ขߦߟ޿ߡߪ‫ޔ‬¤ਅߩ^ࠍ⠨ߔࠆᔅⷐ߇޽ࠆ‫ޕ‬ ⺞ÌߦࠃࠆT⪲㉄ߪߦߊ‫⺞ޔ‬Ìߦ㓙ߒߡ㧡jÐ࡯"ㄭߊ߇ಽ⸃ߔࠆ߆‫ޔ‬/0ᕈߩߚ߼ߦ8ߢߦ
0಴ߔࠆߚ߼‫⺞ޔ‬Ìߦࠃߞߡࠊࠇ߿ߔ޿‫ޕ‬M↪r3ߦߟ޿ߡ
㘩ຠߩ⪲㉄㧔folate㧕ߣ޿ࠊ8ࠆᩕ㙃9:㘩ຠߩ⪲㉄㧔folic acid㧕ߩ૕ౝߩM↪r3ߦߟ޿ߡ}߇޽ࠆ‫ࠊ޿ޕ‬8ࠆᩕ㙃9:㘩ຠߩ⪲㉄ߪ↢૕ౝߩM↪r3߇;㧡Ð࡯"ߣ⷗
߽ࠄࠇߡ޿ࠆߩߦኻߒߡ‫ޔ‬㘩ຠߩ⪲㉄ߪઍ⻢n`ߦP‫ߥޘ‬Nw߇޽ࠆߚ߼‫ޔ‬M↪r3߇ૐਅߔࠆ‫⎇ߩ߆ߟޕ‬ⓥߢߪ‫ޔ‬㘩ຠߩ⪲㉄ߩM↪r3ߪ㧡jÐ࡯"`ߣ⷗߽ࠄࠇߡ޿ࠆ‫ޕ‬ ៨ขᣇߦߟ޿ߡ´<Tቯᣣੱߩᩕ㙃ⷐ㊂ߦၮߠ߈_ᚑߒߚ㘩ຠᚑߦᓥߞߡ㘩ຠ៨ขࠍⴕ߃ê‫㉄⪲ޔ‬j㧠¡߇៨ขߢ߈ࠆ߽ߩߣផ®ߐࠇࠆ‫ޔ߅ߥޕ‬㧞㧝Êߩ࿖1ஜᐽߠߊࠅó¬ߢ޽ࠆ‫ޟ‬ஜᐽᣣ㧞㧝‫ߪߢޠ‬㊁Ò㧔⪲㉄߇ᄙߊ ߹ࠇࠆ㧕ߩ៨ข㊂ߩჇടࠍ⋡ᜰߒߡ߅ࠅ‫⃻ޔ‬k㧝ᣣ㧞h㧞ߩ៨ข㊂ࠍ㧞j㧝jᐕߦ㧝ᣣ,㧡jߦߔࠆߎߣࠍ⋡ߣߒߡ޿ࠆ‫ޕ‬ฦᩕ㙃⚛ߩ៨ขߪᣣᏱߩ㘩↢ᵴߦࠃࠆߎߣ߇ၮߣߥࠆ߽ߩߢ޽ࠅ‫ޔ‬቟±ߦ޿ࠊ8ࠆᩕ㙃9:㘩ຠߦbࠆߴ߈ߢߪߥ޿‫ޕ‬ߒ߆ߒߥ߇ࠄ‫ޔ‬ᅧᆼࠍ®%ߒߡ޿ࠆᅚᕈߦ ߒߡߪ‫ߩ㉄⪲ޔ‬៨ข߇␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫߦr߇޽ࠆߎߣࠍ␜ߒߡ޿ࠆ3ቇ⎇ⓥߩߡߦ߅޿ߡ޿ࠊ8ࠆᩕ㙃9:㘩ຠ߇Ý↪ߐࠇߡ޿ࠆߎߣ‫ޔ‬㘩ຠߩ⪲㉄㧔folate㧕ߦߟ޿ߡ߽Ì⊛ߦߪr߇޽ࠆߣផቯߐࠇࠆ߇
⃻^ߢߪR᜚߇8ࠄࠇߡ޿ߥ޿ߎߣ‫⻉ޔ‬ᄖ࿖߇޿ࠊ8ࠆᩕ㙃9:㘩ຠࠍM↪ߒߡ޿ࠆ⁁ᴫߥߤ߽⠨ߒ‫ޔ‬ᣣߢ߽|ߦìߐࠇߡ޿ࠆ޿ࠊ8ࠆᩕ㙃9:㘩ຠߩᵴ↪ߦߟ޿ߡ߽⺑~ߔࠆᔅⷐ߇޽ࠆ‫ޕ‬ࠛ ៨ข㊂ߦߟ޿ߡ
ߎࠇ߹ߢߩ3ቇ⎇ⓥߦ߅޿ߡߪ‫㉄⪲ޔ‬៨ข㊂߇㧝ᣣj,iß㧡¡ߩ9:ߢ‫ࠊ޿ޔ‬8ࠆᩕ
㙃9:㘩ຠࠍ↪޿ߚ៨ขᣇߦࠃࠆ␹⚻▤㐽㎮㓚ኂߩ⊒∝࡝ࠬࠢߩૐᷫ߇ߺࠄࠇߡ޿ࠆ‫ޔߚ߹ޕ‬Íⷐ࿖ߩ⪲㉄៨ขߩJ๔ߢߪ㧝ᣣj㧠ß㧡¡ߣߥߞߡ޿ࠆ‫ޕ‬3ቇ⎇ⓥߦ߅޿ߡ‫㉄⪲ޔ‬៨ข
㊂ߩჇടߦp޿ᄢ߈ߥૐᷫ߇ߺࠄࠇࠆߣ޿߁ Áߪ⹺߼ࠄࠇߡ޿ߥ޿ߎߣ߆ࠄ‫ߩࠢࠬ࡝∝⊒ޔ‬
ૐᷫߦªrߢ޽ࠆn៨ข㊂ࠍߨ㧝ᣣj㧠¡ߢ޽ࠆߣ⠨߃‫ޔ‬㘩੐ߦട߃‫ࠊ޿ޔ‬8ࠆᩕ㙃
9:㘩ຠߦࠃࠆ㧝ᣣj㧠¡ߩ⪲㉄៨ขߩsႎឭtࠍⴕ߁ߎߣߣߒߚ‫ޕ‬
 7ߩ]â↪ߦࠃࠆᓇ㗀ߦߟ޿ߡߡÏ߆Ï^╬ ᦼߦࠊߚߞߡ↪߇ᔅⷐߥ]^ߩߦߪ‫ߩ㉄⪲ޔ‬ᰳ+ࠍ↢ߓࠆ߽ߩ߽޽ࠆ
ߎߣ߆ࠄ‫ߩࠄࠇߎޔ‬sႎߦߟ޿ߡකAߦኻߔࠆsႎឭt߇ᔅⷐߢ޽ࠆ‫ޕ‬

ȝ 67 ȝ

ȝ 68 ȝȝ 69 ȝáâNãéäÓåæÏ=@ Ì çèFGH
ᐔᚑ㧝㧣ᐕ㧣᦬㧝㧡ᣣஜ⊒´ 0715002 <2㘩቟⊒´ 0715001 <2ఽ⊒´ 0715003 <ฦ=>?@⍮੐2ABë)↢*+,ஜᐽ+2>#

D2ක]㘩ຠ+㘩ຠ቟W

↪╬2ఽEFG+

2

ㅢ⍮㘩xၮ㧔ᐔᚑ㧝㧣ᐕ´i,<㧕ߪ#Qߩߣ߅ࠅᐔᚑ㧝㧣ᐕi᦬㧝㧣ᣣߦYߐࠇ‫ޔ‬ᐔᚑ㧝㧣ᐕ㧣᦬㧝㧡ᣣ߆ࠄdⴕߔࠆߎߣߣߐࠇߚߣߎࠈߢ޽ࠆ‫ߦࠇߎޕ‬p޿‫ޔ‬ਅåߩ੐ߦqߩ਄‫ޔ‬ஜᐽߠߊࠅߩߚ߼ߩ㘩xߩផㅴߦ>Nߩ×ࠍ߅W޿ߔࠆߣߣ߽ߦ‫ޔ‬
ฦ=>?@ߦ߅޿ߡߪ‫▤ޔ‬ౝëV㧔ABë෸߮>#ࠍBߊ‫ޕ‬㧕‫ޔ‬

Á¾

‫ޔ‬

Á<૕╬

ߦኻߔࠆ ⍮෸߮ㆡಾߥᡰេࠍ߅W޿ߔࠆ‫ޕ‬å´㧝 㘩xၮߩⷐ㧝 ⋡⊛㧔´㧝 Á㧕࿖1߇↢ᶦߦࠊߚߞߡஜߥ

ࠍ޿‫[ੱߥ߆ޔ‬ᕈࠍߪ2ߊ߻ߚ߼ߩ㘩xࠍផㅴߔࠆߚ߼‫ޔ‬㘩xߦ ߔࠆd╷ࠍ,ว⊛߆ߟ®%⊛ߦផㅴߔࠆߎߣ╬ࠍ⋡⊛ߣߔࠆ‫ޕ‬㧞ၮÌᔨ㧔´㧞߆ࠄ´; Á㧕࿖1ߩߩஜᐽߩჇㅴߣ߆ߥੱ[iᚑ‫ޔ‬㘩ߦ ߔࠆÕ⻢ߩᔨߣÌ⸃‫ޔ‬㘩xផㅴó¬ߩ╬ࠍၮÌᔨߣߔࠆ‫ޕ‬,Á⠪ߩ-㧔´h߆ࠄ´㧝㧡 Á㧕㧔㧝㧕㘩xߩផㅴߦߟ޿ߡ‫ޔ‬࿖‫ޔ‬HᣇY<૕‫ޔ‬xÁ⠪╬‫ޔ‬-.Ä⠪╬‫ޔ‬㘩ຠ!੐Ä⠪╬෸߮࿖1ߩ-ࠍቯ߼ࠆ‫ޕ‬
㧔㧞㧕A?ߪ‫ޔ‬Úᐕ‫ޔ‬㘩xߩផㅴߦ ߒߡlߓߚd╷ߦ ߒ‫ޔ‬࿖ળߦႎ๔Ëࠍឭ಴ߔࠆ‫ޕ‬㧠 㘩xផㅴၮ®%╬㧔´㧝i߆ࠄ㧝; Á㧕㧔㧝㧕㘩xផㅴળ⼏ߪ‫ޔ‬㘩xߩផㅴߦ ߔࠆd╷ߩ,ว⊛߆ߟ®%⊛ߥផㅴࠍ࿑ࠆߚ߼‫ޔ‬㘩xផㅴၮ®%ࠍ_ᚑߔࠆ‫ޕ‬
㧔㧞㧕=>?@෸߮ëVߪ‫@?>=ޔ‬㘩xផㅴ®%෸߮ëV㘩xផㅴ®%ࠍ_ᚑߔࠆࠃ߁m߼ߥߌࠇêߥࠄߥ޿‫ޕ‬㧡 ၮ⊛d╷㧔´㧝h߆ࠄ´㧞㧡 Á㧕㧔㧝㧕FGߦ߅ߌࠆ㘩xߩផㅴ㧔㧞㧕ቇ ‫଻ޔ‬x╬ߦ߅ߌࠆ㘩xߩផㅴ㧔,㧕HIߦ߅ߌࠆ㘩↢ᵴߩTUߩߚ߼ߩข⚵ߩផㅴ㧔㧠㧕㘩xផㅴó¬ߩ㧔㧡㧕↢↥⠪ߣäÂ⠪ߣߩ¡ߩ¢ㅴ╬
㧔i㧕㘩Vൻߩ{ᛚߩߚ߼ߩᵴ¬߳ߩᡰេ╬㧔㧣㧕㘩ຠߩ቟ᕈ‫ޔ‬ᩕ㙃ߘߩ7ߩ㘩↢ᵴߦߩផㅴȝ 6: ȝ

ߔࠆ⺞ᩏ‫⎇ޔ‬ⓥ‫ޔ‬sႎߩឭt෸߮࿖㓙¡㧢㘩⢒ផㅴળ⼏㧔╙㧞㧢᧦߆ࠄ㧟㧟᧦㑐ଥ㧕㧔㧝㧕 ౝ㑑ᐭߦ㘩⢒ផㅴળ⼏ࠍ⟎߈‫ޔ‬ળ㐳㧔ౝ㑑✚ℂᄢ⤿㧕෸߮ᆔຬ㧔㘩⢒ᜂᒰᄢ⤿‫ޔ‬㑐ଥᄢ⤿෸߮᦭⼂⠪㧕㧞㧡ฬએౝߢ⚵❱ߔࠆ‫ޕ‬㧔㧞㧕 ㇺ㆏ᐭ⋵෸߮Ꮢ↸᧛ߪ‫ޔ‬ㇺ㆏ᐭ⋵㘩⢒ផㅴળ⼏෸߮Ꮢ↸᧛㘩⢒ផㅴળ⼏ࠍ⟎ߊߎߣ߇ߢ߈ࠆ‫ޕ‬╙㧞 ஜᐽߠߊࠅߩߚ߼ߩ㘩⢒ߩផㅴߩߚ߼ߩၮᧄ⊛⠨߃ᣇ㧝ஜᐽߠߊࠅ‫ޔ‬Უሶ଻ஜ‫ޔ‬㘩ຠ቟ో╬ߩᣉ╷ߦߟ޿ߡ‫ޔ‬ᚲ▤ߔࠆㇱዪ߇චಽߦ⺞ᢛࠍ࿑ࠅߟߟ‫ޔ‬㘩⢒ߩផㅴߦଥࠆലᨐ⊛ߥ੐ᬺߩలታᒝൻࠍ࿑ࠆߎߣ‫ޕ‬߹ߚ‫ߩߘޔ‬㓙ߦߪ‫ޔ‬ㄘ᡽ᜂᒰㇱዪ‫ޔ‬ᢎ⢒ᜂᒰㇱዪ╬ߩ㑐ଥㇱዪߣ߽චಽߥㅪ៤ߩ
ਅߢ‫✚ޔ‬ว⊛ߦ㘩⢒ߦ㑐ߔࠆᣉ╷ࠍㅴ߼ࠆߎߣ‫ޕ‬㧞࿾ၞߦ߅ߌࠆ㘩⢒ߩផㅴߦ㑐ߔࠆᣉ╷ࠍㅴ߼ࠆߦᒰߚߞߡߪ‫ޔ‬㑐ଥᯏ㑐෸߮㑐ଥ࿅૕ߣߩㅪ៤ᒝൻࠍ࿑ࠆߎߣ‫ޕ‬㧟ㇺ㆏ᐭ⋵෸߮Ꮢ↸᧛ߦ߅ߌࠆ㘩⢒ផㅴ⸘↹ߩ╷ቯߦᒰߚߞߡߪ‫ޔ‬ஜᐽჇㅴᴺ㧔ᐔᚑ 14 ᐕᴺᓞ╙ 103 ภ㧕ߦၮߠߊㇺ㆏ᐭ⋵ஜᐽჇㅴ⸘↹෸߮Ꮢ↸᧛ஜᐽჇㅴ⸘↹ਗ߮ߦᰴ਎ઍ⢒ᚑᡰេኻ╷ផㅴᴺ㧔ᐔᚑ 15 ᐕᴺᓞ╙ 120 ภ㧕ߦၮߠߊ࿾ၞⴕേ⸘↹╬ߣߩᢛวᕈࠍ࿑ࠆߎߣ‫ޕ‬╙㧟 ஜᐽߠߊࠅߩߚ߼ߩ㘩⢒ߩផㅴߦ㑐ߔࠆၮᧄ⊛ข⚵㧝࿾ၞߦ߅ߌࠆᩕ㙃࡮㘩↢ᵴᡷༀ‫ޔ‬㘩ຠߩ቟ోᕈߦ㑐ߔࠆ⍮⼂ߩ᥉෸ߩߚ߼ߩข⚵ߩផㅴ㧔㧝㧕 ↢ᵴ⠌ᘠ∛ߩ੍㒐෸߮ⷐ੺⼔⁁ᘒߦߥࠆߎߣߩ੍㒐ߥߤ↢ᶦࠍㅢߓߚஜᐽߠ
ߊࠅߩⷰὐ߆ࠄ‫଻ޔ‬ஜᚲ‫ޔ‬Ꮢ↸᧛଻ஜ࠮ࡦ࠲࡯‫ޔ‬ක≮ᯏ㑐╬ߦ߅ߌࠆᩕ㙃࡮㘩↢ᵴᡷༀߦ㑐ߔࠆᱜߒ޿⍮⼂ߩ᥉෸߿ᵴേߩផㅴࠍ࿑ࠆߎߣ‫ޕ‬㧔㧞㧕 ࿾ၞߦ߅ߌࠆ㘩ຠߩ቟ోᕈࠍᆎ߼ߣߔࠆ㘩ߦ㑐ߔࠆ᏷ᐢ޿ᖱႎߩឭଏ߿ᗧ⷗
੤឵╬ߩข⚵ߩផㅴࠍ࿑ࠆߎߣ‫ޕ‬㧔㧟㧕 ࿾ၞߩ㘩ຠ㑐ㅪ੐ᬺ⠪╬߇ⴕ߁ᩕ㙃࡮㘩↢ᵴᡷༀ෸߮㘩ຠߩ቟ోᕈߦ㑐ߔࠆᖱႎឭଏ߿ᗧ⷗੤឵ߩข⚵ߦදജߔࠆߥߤ㘩⢒ߩផㅴߩߚ߼ߩᵴേ߳ߩᡰេ
ࠍⴕ߁ߎߣ‫ޕ‬㧞ኅᐸ‫଻ޔ‬⢒ᚲ╬ߦ߅ߌࠆஜోߥ㘩⠌ᘠߩ⏕┙╬ߩߚ߼ߩข⚵ߩផㅴ㧔㧝㧕ኅᐸߦ߅ߌࠆஜోߥ㘩⠌ᘠߩ⏕┙෸߮㘩ຠߩ቟ోᕈߦ㑐ߔࠆᱜߒ޿⍮⼂ߩ᥉෸ࠍ࿑ࠆߎߣ‫ޕ‬㧔㧞㧕Ꮢ↸᧛଻ஜ࠮ࡦ࠲࡯෸߮ක≮ᯏ㑐ߢߩஜᐽ⸻ᩏ╬ߩᯏળࠍㅢߒߡ‫ޔ‬ᅧ↥ᇚ෸߮੃ᐜఽߦኻߒ‫ߩࠅߣ߭ੱ৻ޔ‬ஜᐽ⁁ᘒ߿ሶߤ߽ߩ⊒㆐Ბ㓏ߦᔕߓߚᩕ㙃ᜰዉߩలታࠍ࿑ࠆߎߣ‫ޕ‬㧔㧟㧕଻⢒ᚲߦ߅޿ߡ‫଻ޔ‬⢒⸘↹ߦㅪേߒߚ⚵❱⊛࡮⊒ዷ⊛ߥ‫ޟ‬㘩⢒ߩ⸘↹‫╷ߩޠ‬ቯ╬߇ផㅴߐࠇࠆࠃ߁ᡰេࠍⴕ߁ߣߣ߽ߦ‫ޔ‬࿾ၞߣㅪ៤ߒߟߟ‫ޔ‬࿷ቛߩሶ⢒ߡኅᐸ߆ࠄߩ੃ᐜఽߩ㘩ߦ㑐ߔࠆ⋧⺣‫ޔ‬ᖱႎឭଏ╬ߩข⚵ߩଦㅴࠍ࿑ࠆߎߣ‫ޕ‬㧟㘩⢒ߩផㅴߩߚ߼ߩᩕ㙃࡮㘩↢ᵴᡷༀ෸߮㘩ຠߩ቟ోᕈߦ㑐ߔࠆ⺞ᩏ㧔㧝㧕㘩⢒ߩផㅴߩߚ߼ߩᩕ㙃࡮㘩↢ᵴᡷༀߦ㑐ߔࠆ࿾ၞߩታᘒᛠី෸߮ᣉ╷ߩ⹏ଔߦദ߼ࠆߎߣ‫ޕ‬㧔㧞㧕࿾ၞߦ߅ߌࠆ㘩ຠߩ቟ోᕈߦ㑐ߔࠆ⺞ᩏ෸߮⎇ⓥࠍⴕ߁ߎߣ‫ޕ‬
ȝ 71 ȝ